Individual provider Active NPI

Sarah A Smith, LCSW

  • Case Manager/Care Coordinator
  • Yulee, FL
National Provider Identifier
1174835771
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCMS100160 Issued in FL
Practice address
463142 State Road 200
Yulee, FL 32097-5554
Phone
(904) 225-8280
Fax
(904) 225-8232
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1061 OK
Case Manager/Care Coordinator 171M00000X CBHCMS100160 FL Primary
Clinical Social Worker 1041C0700X SW25768 FL

Addresses

Primary practice location

463142 State Road 200
Yulee, FL 32097-5554

Mailing address

463142 State Road 200
Yulee, FL 32097-5554
Phone (904) 225-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331003703 FL Practitioner - Clinical Social Worker 8224513858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1513 Seawolf TRL
Jacksonville, FL 32221-8026

7402 Eaton Ave
Jacksonville, FL 32211-7817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1061OKMDAddiction (Substance Use Disorder) Counselor
SW25768FLMDClinical Social Worker
CBHCMS100160FLMDCase Manager/Care Coordinator

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1174835771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463142 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-225-8280",
            "fax_number": "904-225-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463142 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975554",
            "telephone_number": "904-225-8280",
            "fax_number": "904-225-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "1061",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS100160",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.