Individual provider Active NPI

Hyrum Cannon Smith, LMSW

  • Social Worker
  • Tucson, AZ
National Provider Identifier
1275748451
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
069738-1 2005 Issued in NY
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

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
069738-1 2005NYMDSocial 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.

Verify at the official NPI Registry.