Courtney Ryan Smith, LMSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1 Pierrepont PLZ Ste 901
Brooklyn, NY 11201-2828

Phone

(212) 529-6445

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Graham Windham

  • Voluntary or Charitable Agency
  • Brooklyn, NY
  • NPI 1891837944
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1205400603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOROTHY DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PIERREPONT PLZ STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012828",
            "telephone_number": "212-529-6445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Melville Park Rd Ste 53",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117473175",
            "country_code": "US",
            "telephone_number": "631-204-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "RYAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine Smith, LPN
• Cherelle Smith
• Chloe Smith, NP
• Clover Smith, NP
• Colleen Michelle Smith, MD
• Daniel Smith, LMHC
• Daniel Smith, DVM
• Danielle Smith
• Darcel Lettice Smith
• Darnell A. Smith, LPN

• Case Manager/Care Coordinator in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.