Smith Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SMITH THERAPY, LLC

Practice address

104 Pilgrim Village Dr Ste 300
Cumming, GA 30040-9232

Phone

(678) 933-2517

Fax

(770) 406-8872

NPI assigned

Oct 3, 2019

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynette Clark

Title

Credentialing Manager

Phone

(770) 339-7667

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Dustin Smith, LCSW

  • Clinical Social Worker
  • Cumming, GA
  • NPI 1922579549
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1295376077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 FIELDGATE RIDGE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300285918",
            "telephone_number": "678-933-2517",
            "fax_number": "770-406-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PILGRIM VILLAGE DR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409232",
            "telephone_number": "678-933-2517",
            "fax_number": "770-406-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "770-339-7667"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Smiles for Kids LLC
• Aliyiah Chantel Smith, PHARM D
• Andrea Smith, OTR
• Barbara Elaine Smith, CNNP
• Elizabeth Anne Smith, FNP-C
• Emily Madison Smith, PHARMD

• Clinical Social Worker in Cumming, GA
• Providers in Cumming, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.