Mickey Orb Smith, LCSW,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24960 Issued in TX

Practice address

1711 E Central Texas Expy
Suite 103
Killeen, TX 76541-9166

Phone

(254) 526-7272

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Debbie Mabray PLLC

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1770694820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1164438198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WHISPER HOLLOW",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765139520",
            "telephone_number": "254-933-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-526-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICKEY",
        "middle_name": "ORB",
        "name_prefix": "Mr.",
        "credential": "LCSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SMB Healthcare Services
• Alyson Smith, PT, DPT
• Dejah Smith
• Gina Smith
• Howard Lamoyne Smith, M.D.
• Raeshel Leanne Smith, NP-C
• Samone D. Smith, PA-C
• Shawnee Smith
• Shianne Smith
• Steven Lynn Smith, M.D.

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.