Individual provider Active NPI

Alanda L Smith, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1235869280
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5844 Elaine Dr Ste 101
Rockford, IL 61108-2494
Phone
(815) 979-7587
Fax
(815) 977-4932
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149.028824 IL
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

5844 Elaine Dr Ste 101
Rockford, IL 61108-2494

Mailing address

5844 Elaine Dr Ste 101
Rockford, IL 61108-2494
Phone (815) 979-7587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220912001653 IL Practitioner - Clinical Social Worker 3274918271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renita Shores-GastonGroup PAC ID 0941614705, 6 clinicians

Practice addresses (Care Compare)

5844 Elaine Dr
Suite 101
Rockford, IL 61108-2494
Phone (815) 373-3027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.028824ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renita Shores-Gaston Clinical CurrentSince Aug 15, 2022 Accepting new patients
Linda Nguyen CurrentSince Feb 9, 2025 Accepting new patients

Locations

5844 Elaine Dr
Ste 101
Rockford, IL 61108
Phone (779) 970-8372

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1235869280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 ELAINE DR STE 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082494",
            "telephone_number": "815-979-7587",
            "fax_number": "815-977-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 ELAINE DR STE 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082494",
            "telephone_number": "815-979-7587",
            "fax_number": "815-977-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALANDA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.028824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.