Cheryl Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002655 Issued in CT

Practice address

1400 Whitney Ave
The Children'S Center of Hamden
Hamden, CT 06517-2459

Phone

(203) 248-2116

Fax

(203) 248-2572

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leap-Lifelong Empowerment ABA and Psychotherapy LLCGroup PAC ID 3577093012, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Leap-Lifelong Empowerment ABA & Psychotherapy LLC

  • Mental Health Counselor
  • Farmington, CT
  • NPI 1740010297
  Medicare reassignment Care Compare group NPD
• The Children'S Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1215271705
  NPD (past)
• The Children'S Center of Hamden, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hamden, CT
  • NPI 1225042542
  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1184053449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "address_2": "THE CHILDREN'S CENTER OF HAMDEN",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-248-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WHITNEY AVE",
            "address_2": "THE CHILDREN'S CENTER OF HAMDEN",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172459",
            "telephone_number": "203-248-2116",
            "fax_number": "203-248-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Alexis Skempris, LCSW
• Wioletta Skrodzka
• Richard R Slater, MD
• Laurel Nicole Slongwhite, M.D.
• Lora Small, LCSW
• Ethan Bennet Smith, MSW
• Horace Fenton Smith III
• Jeffrey Robert Smith, MD
• Katie Lynn Smith, LCSW
• Naia Smith

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.