Individual provider Active NPI

Elizabeth P. Smith, LICSW

  • Clinical Social Worker
  • Windsor, VT
National Provider Identifier
1184265670
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0134689 Issued in VT
Practice address
85 Main St
Windsor, VT 05089-1323
Phone
(802) 345-9903
NPI assigned
Oct 5, 2019
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 097.0134623 VT
Clinical Social Worker 1041C0700X 089.0134689 VT Primary

Addresses

Primary practice location

85 Main St
Windsor, VT 05089-1323

Mailing address

77 Weston HTS
Windsor, VT 05089-9464
Phone (802) 345-9903

Other practice location 1

77 Weston Hts
Windsor, VT 05089-9464
Phone (802) 345-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20241010001471 VT Practitioner - Clinical Social Worker 1951842210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 Weston HTS
Windsor, VT 05089-9464

85 Main St
Windsor, VT 05089-1323
Phone (802) 345-9903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097.0134623VTMDProfessional Counselor
089.0134689VTMDClinical Social Worker
3053NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Smith Therapy, LLC Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

54 Main St
Windsor, VT 05089
Phone (802) 345-9903

85 Main St
Windsor, VT 05089
Phone (413) 834-2039

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1184265670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WESTON HTS",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050899464",
            "telephone_number": "802-345-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAIN ST",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050891323",
            "telephone_number": "802-345-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Weston Hts",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "VT",
            "postal_code": "050899464",
            "country_code": "US",
            "telephone_number": "802-345-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "P.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "097.0134623",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, VT

Sources for this page

Verify at the official NPI Registry.