Elise Christine Smith, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

.09923917 Issued in CO

Practice address

1440 W 29TH St
#100
Loveland, CO 80538-2459

Phone

(971) 775-7061

Fax

(907) 292-8194

NPI assigned

Aug 11, 2015

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1306212592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 HEADWATER DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805211140",
            "telephone_number": "337-302-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W 29TH ST",
            "address_2": "#100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382459",
            "telephone_number": "971-775-7061",
            "fax_number": "907-292-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELISE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": ".09923917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000000000",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Eight Professionals LLC (Comfort Dental Braces)
• Jessica L Smillie
• Alexandra Smith, OD
• Carla Irven Smith, DC
• Chad Ernest Smith, PA-C
• Elizabeth M Smith, PA
• Emma Smith
• Eric N Smith, LSW, MSW
• Jacob C Smith, FNP-BC
• Jennifer Smith, PA-C

• Clinical Social Worker in Loveland, CO
• Providers in Loveland, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.