Individual provider Active NPI

Heather A Smith, RBT

  • School Social Worker
  • Inwood, NY
National Provider Identifier
1174197917
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
RBT-23-314357 Issued in IN
Practice address
148 Doughty Blvd Ste 260
Inwood, NY 11096-2054
Phone
(917) 688-9644
NPI assigned
May 17, 2021
Last updated
Mar 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X RBT-23-314357 IN Primary
Behavior Technician 106S00000X RBT-23-314357 IN

Addresses

Primary practice location

148 Doughty Blvd Ste 260
Inwood, NY 11096-2054

Mailing address

1404 S 14TH St
Richmond, IN 47374-7051
Phone (765) 969-8029

Other practice location 1

1404 S 14th St
Richmond, IN 47374-7051
Phone (765) 969-8029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-23-314357INMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1174197917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S 14TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473747051",
            "telephone_number": "765-969-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 DOUGHTY BLVD STE 260",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962054",
            "telephone_number": "917-688-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473747051",
            "country_code": "US",
            "telephone_number": "765-969-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IN",
            "license": "RBT-23-314357",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-23-314357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.