Latasha Monique Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5035 Fiorella LN
Sanford, FL 32771-5447

Phone

(413) 219-3717

NPI assigned

Oct 31, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235483108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 FIORELLA LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715447",
            "telephone_number": "413-219-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 FIORELLA LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715447",
            "telephone_number": "413-219-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Maple St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011051864",
            "country_code": "US",
            "telephone_number": "413-732-7419",
            "fax_number": "413-781-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATASHA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Small
• Smile Oasis at Sanford PA
• Smiletown Dental LLC
• Brent Smith
• Christopher Smith, PSY. D.
• Leslie L. Smith, D.O.
• Tiffany Denise Smith
• Sarabjit Sodhi
• Sukhpaul Sodhi
• Charlene R Solloway, MA

• Clinical Social Worker in Sanford, FL
• Providers in Sanford, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.