Individual provider Active NPI

George B Smith, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1255475414
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001940A Issued in IN
Practice address
70 E 91St St
Ste 110
Indianapolis, IN 46240-1550
Phone
(317) 848-5322
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34001940A IN Primary

Addresses

Primary practice location

70 E 91St St
Ste 110
Indianapolis, IN 46240-1550

Mailing address

70 E 91St St
Ste 202
Indianapolis, IN 46240-1564
Phone (317) 627-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070531000424 IN Practitioner - Clinical Social Worker 0345348207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

333 N Alabama St
Suite 329
Indianapolis, IN 46204-2034
Phone (317) 627-3576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001940AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
George B Smith LCSW LLC Clinical CurrentSince Jun 27, 2017 Accepting new patients

Locations

333 N Alabama St
Ste 329
Indianapolis, IN 46204
Phone (317) 627-3576

70 E 91st St
Ste 110
Indianapolis, IN 46240
Phone (317) 627-3576

70 E 91st St
Ste 202
Indianapolis, IN 46240
Phone (317) 627-3576

Organizations & group practices 1

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1255475414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST",
            "address_2": "STE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401564",
            "telephone_number": "317-627-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST",
            "address_2": "STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401550",
            "telephone_number": "317-848-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001940A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.