Life Skills Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4430 Issued in OK

Legal business name

LIFE SKILLS SERVICES, LLC

Practice address

1200 N Glenn English St
Cordell, OK 73632-2015

Phone

(580) 832-0041

Fax

(580) 832-0047

NPI assigned

Jan 8, 2015

Last updated

Jan 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronnie C Smith, LCSWNPI 1326218991

Title

Owner/Provider

Phone

(703) 980-8908

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronnie Colman Smith, MSW, LCSW

  • Clinical Social Worker
  • Cordell, OK
  • NPI 1326218991
  Authorized official Same address or phone

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1164810461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N GLENN ENGLISH ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736322015",
            "telephone_number": "580-832-0041",
            "fax_number": "580-832-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N GLENN ENGLISH ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736322015",
            "telephone_number": "580-832-0041",
            "fax_number": "580-832-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "703-980-8908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Ray Hill, CNP
• Anna Lea Hoke
• Hugh a Mendez (Mendez Medical)
• Chris L Johnson, DPH
• Christopher Carlus Kastner, D.C.
• Mendez Medical, LLC
• Hugh A Mendez, RRT
• New Hope CDL LLC
• Kevin O Halloran, DDS
• Natasha Rheaume

• Clinical Social Worker in Cordell, OK
• Providers in Cordell, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.