Kelly Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904012933 Issued in VA

Practice address

700 University City Blvd
Blacksburg, VA 24060-2706

Phone

(540) 961-8300

Fax

(540) 961-8465

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Donahue Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

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.

• New River Valley Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blacksburg, VA
  • NPI 1942304126
  Medicare reassignment NPD
• New River Valley Community Services

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1922633544
  NPD

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1235705393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Main St",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241411588",
            "country_code": "US",
            "telephone_number": "540-838-8000",
            "fax_number": "540-904-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "243015009",
            "country_code": "US",
            "telephone_number": "540-994-5023",
            "fax_number": "540-994-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DONAHUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Elizabeth Sluss, BCBA
• Christopher Smallwood
• Cody Smith, DO
• Ellie C Smith, M.A., CCC-SLP
• Hudson Smith, LPC
• Kendra Smith, LCSW
• Lanner Smith, OTR/L
• Mary Katie Smith, LPC
• Milissa Diane Smith, NP
• Ann Knowles Snapp, COTA

• Clinical Social Worker in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.