Individual provider Active NPI

Danielle Nicole Smart, LSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1174983365
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S 1303409 Issued in OH
Practice address
5109 W Broad St
Suite 104
Columbus, OH 43228-1648
Phone
(614) 279-7690
Fax
(614) 279-7695
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S 1303409 OH Primary

Addresses

Primary practice location

5109 W Broad St
Suite 104
Columbus, OH 43228-1648

Mailing address

5109 W Broad St
Suite 104
Columbus, OH 43228-1648
Phone (614) 279-7690

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
S 1303409OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1174983365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 W BROAD ST",
            "address_2": "SUITE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281648",
            "telephone_number": "614-279-7690",
            "fax_number": "614-279-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 W BROAD ST",
            "address_2": "SUITE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281648",
            "telephone_number": "614-279-7690",
            "fax_number": "614-279-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S 1303409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.