Active NPI
Donald Richards-Smith, LCSW, LCAS
- Clinical Social Worker
- Wilson, NC
National Provider Identifier
1275976698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008519
- Practice address
- 100 Gold St NE
Wilson, NC 27893-4020 - Phone
- (252) 265-8400
- Fax
- (252) 265-5357
- NPI assigned
- Apr 16, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2670 | NC | |
| Clinical Social Worker | 1041C0700X | C008519 | NC | Primary |
Addresses
Primary practice location
100 Gold St NE
Wilson, NC 27893-4020
Mailing address
100 Gold St NE
Post Office Box 459
Wilson, NC 27893-4020
Phone (252) 265-8400
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 |
|---|---|---|---|
| 2670 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C008519 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1275976698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GOLD ST NE",
"address_2": "POST OFFICE BOX 459",
"city": "WILSON",
"state": "NC",
"postal_code": "278934020",
"telephone_number": "252-265-8400",
"fax_number": "252-265-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GOLD ST NE",
"city": "WILSON",
"state": "NC",
"postal_code": "278934020",
"telephone_number": "252-265-8400",
"fax_number": "252-265-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS-SMITH",
"first_name": "DONALD",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2670",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.