Active NPI
Hyrum Cannon Smith, LMSW
- Social Worker
- Tucson, AZ
National Provider Identifier
1275748451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069738-1 2005
- Practice address
- 1951 W Arroyo Vista Drive
Tucson, AZ 11003-8106 - Phone
- (516) 770-5490
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 069738-1 2005 | NY | Primary |
Addresses
Primary practice location
1951 W Arroyo Vista Drive
Tucson, AZ 11003-8106
Mailing address
1 Civic Center PLZ
Suite 530
Poughkeepsie, NY 12601-3156
Phone (845) 462-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069738-1 2005 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1275748451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CIVIC CENTER PLZ",
"address_2": "SUITE 530",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013156",
"telephone_number": "845-462-1288",
"fax_number": "845-462-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 W ARROYO VISTA DRIVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "110038106",
"telephone_number": "516-770-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HYRUM",
"middle_name": "CANNON",
"name_prefix": "Dr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "069738-1 2005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.