Anita Ellen Smith, MSW,LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05447100 Issued in NJ

Practice address

34 Sycamore Ave
Building 2
Little Silver, NJ 07739-1228

Phone

(732) 576-8925

Fax

(732) 576-8814

NPI assigned

Jun 21, 2007

Last updated

Dec 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David M. Goldberg, PH.D., P.a.Group PAC ID 0749305878, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David M. Goldberg, PH.D., P.a.

  • Clinical Psychologist
  • Little Silver, NJ
  • NPI 1043532161
  Medicare reassignment Care Compare group NPD
• Little Silver Behavioral Health, LLC

  • Clinical Psychologist
  • Little Silver, NJ
  • NPI 1508353137
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1225234867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE",
            "address_2": "BUILDING 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391228",
            "telephone_number": "732-576-8925",
            "fax_number": "732-576-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE",
            "address_2": "BUILDING 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391228",
            "telephone_number": "732-576-8925",
            "fax_number": "732-576-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANITA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00114700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05447100",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP01293900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12173960",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nayda Sierra, MSW
• Donna L Singer, PT
• Marissa Singer, BCBA
• Rebecca Rudd Sizer, LPC
• Lisa Bacigalupi Smelas, PT
• Adi Smolinsky, MD
• Smomedical LLC
• Chana Solomon
• Elie R Soussan, M.D.
• Robert B Sparling, D.C.

• Clinical Social Worker in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.