Mary Dodge-Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000375 Issued in NC

Practice address

1829 E Franklin St Ste 1100B
Chapel Hill, NC 27514-5804

Phone

(919) 451-1954

Fax

(919) 932-1508

NPI assigned

Sep 2, 2005

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Mary Dodge-Smith Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• 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

State licenses

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1265426449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 1100B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145804",
            "telephone_number": "919-451-1954",
            "fax_number": "919-932-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 1100B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145804",
            "telephone_number": "919-451-1954",
            "fax_number": "919-932-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE-SMITH",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "000375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11339005",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "28665",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DODGE-SMITH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Dodd, MD
• Heather Schultheis Dodd, OTR/L
• Leslie G Dodd, M.D.
• Anne Phyllis Dodds, BDS,MPH,PHD,DDS
• Christina Marie Dodds, FNP-C
• Laura Dodson
• Diane R. Dolan-Soto, MSW, LCSW
• Christina Teeter Doligalski, PHARMD
• Daniel Albert Dolinski, DO
• Samara Domanski, LCMHC

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.