Individual provider Active NPI

Malinda Bargatze-Smith

  • Clinical Social Worker
  • Trenton, KY
National Provider Identifier
1285702647
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
673 Issued in KY
Practice address
4639 Clarksville Rd
Trenton, KY 42286-9767
Phone
(270) 000-0000
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
673KYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. Past
since Jan 1, 2020
Accepting new patients
Lifeskills, Inc. Past
since May 22, 2013
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 673 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

4639 Clarksville Rd
Trenton, KY 42286-9767

Mailing address

4639 Clarksville Rd
Trenton, KY 42286-9767

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2014.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1285702647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 CLARKSVILLE RD",
            "city": "TRENTON",
            "state": "KY",
            "postal_code": "422869767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 CLARKSVILLE RD",
            "city": "TRENTON",
            "state": "KY",
            "postal_code": "422869767",
            "telephone_number": "270-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGATZE-SMITH",
        "first_name": "MALINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.