Individual provider Active NPI

Kimberly Smith-McLaughlin, MSW, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1184398398
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016610 Issued in NC
Practice address
3371 Galleria Dr Unit 13
Fayetteville, NC 28303-3873
Phone
(910) 483-5986
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P016610 NC Primary

Addresses

Primary practice location

3371 Galleria Dr Unit 13
Fayetteville, NC 28303-3873

Mailing address

3371 Galleria Dr Unit 13
Fayetteville, NC 28303-3873
Phone (910) 483-5986

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
P016610NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1184398398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 GALLERIA DR UNIT 13",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033873",
            "telephone_number": "910-483-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 GALLERIA DR UNIT 13",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033873",
            "telephone_number": "910-483-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MCLAUGHLIN",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.