Collie Delroy Smith, CRPA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CRPA-6640 Issued in NY

Practice address

928 Broadway Ste 403
New York, NY 10010-8151

Phone

(212) 481-1055

Fax

(212) 481-7374

NPI assigned

Sep 18, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Bliss-Poston the Second Wind, Inc.

  • Clinical Social Worker
  • New York, NY
  • NPI 1033216098
  NPD

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1245102482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 OLINVILLE AVE APT 3C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108151",
            "telephone_number": "212-481-1055",
            "fax_number": "212-481-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLIE",
        "middle_name": "DELROY",
        "credential": "CRPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-6640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Smith, MB BCH
• Clark Charles Smith, M.D.
• Clark Yutaka Smith, DMD
• Claudia Elizabeth Smith
• Coleman Smith, LMSW
• Connor Smith, DO
• Courtenay Smith, LCSW
• Courtney Smith
• Courtney G Smith
• Craig R Smith, MD

• Peer Specialist in New York, NY
• Providers in New York, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.