Individual provider Active NPI

Nancy A Smyth, LCSW

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1225049851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005083 Issued in NC
Practice address
105 Starwood LN
Holly Springs, NC 27540-8345
Phone
(919) 946-0110
Fax
(919) 552-4532
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C005083 NC Primary

Addresses

Primary practice location

105 Starwood LN
Holly Springs, NC 27540-8345

Mailing address

105 Starwood LN
Holly Springs, NC 27540-8345
Phone (919) 946-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070828000131 NC Practitioner - Clinical Social Worker 7618069287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005083NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Springs Counseling Center CurrentSince May 15, 2013 Accepting new patients

Locations

106 Osterville Dr
Holly Springs, NC 27540
Phone (919) 267-9292

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225049851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STARWOOD LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408345",
            "telephone_number": "919-946-0110",
            "fax_number": "919-552-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STARWOOD LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408345",
            "telephone_number": "919-946-0110",
            "fax_number": "919-552-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.