Nathan T Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L14318 Issued in OR

Practice address

826 SE 10TH St
Pendleton, OR 97801-3246

Phone

(765) 354-8410

NPI assigned

Jun 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

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.

• Community Counseling Solutions

  • Rural Health Clinic/Center
  • John Day, OR
  • NPI 1487992665
  Medicare reassignment NPD
• Stonewall Behavioral Health & Mental Wellness

  • Community/Behavioral Health Agency
  • Pendleton, OR
  • NPI 1316781735
  NPD Authorized official
• Community Counseling Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Heppner, OR
  • NPI 1578501771
  NPD
• Grant County

  • Family Nurse Practitioner
  • John Day, OR
  • NPI 1629009022
  NPD
• Stonewall Behavioral Health

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1790653392
  NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1194349472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 SE 10TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013246",
            "telephone_number": "765-354-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 SE 10TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013246",
            "telephone_number": "765-354-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHAN",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW000008234",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L14318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Smith, CRNA
• Donald James Smith, CADC 1
• Jessica L Smith
• Joel Briton Smith
• Leeann Mashauna Smith, CRM
• Sharyn Smith
• Shilo Caramay Smith, L.C.S.W.
• Tia Patricia Smith, B.S. QHMA
• Timothy Blair Smith, DMD
• Sarah Whitney Sparks, MA

• Clinical Social Worker in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.