Individual provider Active NPI

Denise Smith

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1285474775
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
22545 Issued in MD
Practice address
3857 Boarman Ave
Baltimore, MD 21215-5426
Phone
(443) 621-3187
NPI assigned
May 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 22545 MD Primary

Addresses

Primary practice location

3857 Boarman Ave
Baltimore, MD 21215-5426

Mailing address

3857 Boarman Ave
Baltimore, MD 21215-5426
Phone (443) 621-3187

Other practice location 1

3857 Boarman Ave
Baltimore, MD 21215-5426
Phone (443) 621-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22545MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1285474775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 BOARMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155426",
            "telephone_number": "443-621-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 BOARMAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155426",
            "telephone_number": "443-621-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3857 Boarman Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155426",
            "country_code": "US",
            "telephone_number": "443-621-3187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.