Individual provider Active NPI

Laura Smith

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1194292797
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1700559 Issued in OH
Practice address
5050 Madison Rd
Cincinnati, OH 45227-1491
Phone
(513) 482-7256
Fax
(513) 842-1748
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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.1700559 OH Primary

Addresses

Primary practice location

5050 Madison Rd
Cincinnati, OH 45227-1491

Mailing address

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 482-7256

Other practice location 1

401 E McMillan St
Cincinnati, OH 45206
Phone (513) 221-3350

Other practice location 2

550 Justice Dr
Lebanon, OH 45036-2377
Phone (513) 695-1287

Other practice location 3

1501 Madison Rd
Cincinnati, OH 45206
Phone (513) 354-5200

Other practice location 4

550 Justice Dr
Lebanon, OH 45036-2377
Phone (513) 695-1287

Other identifiers 1

IdentifierTypeStateIssuer
1194292797OtherOHLICENSURE BOARD

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.1700559OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1194292797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-482-7256",
            "fax_number": "513-842-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271491",
            "telephone_number": "513-482-7256",
            "fax_number": "513-842-1748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E McMillan St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45206",
            "country_code": "US",
            "telephone_number": "513-221-3350",
            "fax_number": "513-475-5673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Justice Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450362377",
            "country_code": "US",
            "telephone_number": "513-695-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 MADISON RD",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45206",
            "country_code": "US",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Justice Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450362377",
            "country_code": "US",
            "telephone_number": "513-695-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1700559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE BOARD",
            "identifier": "1194292797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.