Rachel Renae Smith, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1303038 Issued in OH

Practice address

22897 US Highway 20a
Archbold, OH 43502-9138

Phone

(419) 445-1980

NPI assigned

Apr 28, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1265053540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16226 MUD CREEK RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129744",
            "telephone_number": "419-438-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22897 US HIGHWAY 20A",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435029138",
            "telephone_number": "419-445-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "RENAE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1303038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC
• Jacquelyn Gayle Short, O.D.
• Andrew Shoup, ASSISTANT PT
• Shelley Simon-Miller
• Lindsay Christine Smallman, LSW
• Tamara Snyder, NP
• Songbird Speech Therapy, LLC
• Diane Marie Sonnenberg, MSSA, LISW
• Tara L. Spisak, RD, LD, CDE
• Katie Lynn Sprow-Arend, LISW-S

• Social Worker in Archbold, OH
• Providers in Archbold, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.