Sara Katharine Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003247 Issued in VA

Practice address

1801 Portsmouth Blvd
Pines RTC
Portsmouth, VA 23704-6323

Phone

(757) 398-0430

Fax

(757) 398-0340

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City of PortsmouthGroup PAC ID 9032173877, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• City of Portsmouth

  • Community/Behavioral Health Agency
  • Portsmouth, VA
  • NPI 1093891699
  Medicare reassignment Care Compare group
• Brighton Behavioral Health Center

  • Psychiatric Residential Treatment Facility
  • Portsmouth, VA
  • NPI 1093740482
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295834513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 OAKLEY HALL RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034518",
            "telephone_number": "757-393-0061",
            "fax_number": "757-398-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PORTSMOUTH BLVD",
            "address_2": "PINES RTC",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046323",
            "telephone_number": "757-398-0430",
            "fax_number": "757-398-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "middle_name": "KATHARINE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931658",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931640",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923213",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawona S Smith, RN
• Peter J. Smith, M.D.
• Robert Marshall Smith, SOCIAL WORKER
• Ronald Cornell Smith II
• Ronald Earl Smith
• Stephanie Smith
• Tanisha Smith
• Tyja Smith
• Robert Louis Smits Jr., MD
• Brian Dennis Smullen, MD

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.