Organization Active NPI

Smith &Associates Mental Health

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1285034744
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 4510 Issued in FL
Legal business name
SMITH &ASSOCIATES MENTAL HEALTH
Practice address
4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853
Phone
(954) 873-9707
Fax
(561) 423-0616
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Authorized official

Name
Dr. Yolanda Elaine Smith, PHD, LCSWNPI 1255409033
Title
Ceo
Phone
(954) 873-9707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW 4510 FL Primary

Addresses

Primary practice location

4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853

Mailing address

4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853
Phone (954) 873-9707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715472000000",
    "number": "1285034744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216853",
            "telephone_number": "954-873-9707",
            "fax_number": "561-423-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216853",
            "telephone_number": "954-873-9707",
            "fax_number": "561-423-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH &ASSOCIATES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-05-12",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-873-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; 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.