Individual provider Active NPI

Stokes Smith, CSW, LSAC

  • Social Worker
  • Salt Lake City, UT
National Provider Identifier
1316235070
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6817632-3502 Issued in UT
Practice address
1390 S 1100 E Ste 203
Salt Lake City, UT 84105-2463
Phone
(801) 983-5700
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6817632-6006 UT
Social Worker 104100000X 6817632-3502 UT Primary

Addresses

Primary practice location

1390 S 1100 E Ste 203
Salt Lake City, UT 84105-2463

Mailing address

2126 E 3300 S BLDG F
Building F #2126
Salt Lake City, UT 84109-2679
Phone (801) 870-8399

Other names 1

  • Stoke Smith Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6817632-6006UTMDAddiction (Substance Use Disorder) Counselor
6817632-3502UTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1316235070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 E 3300 S BLDG F",
            "address_2": "BUILDING F #2126",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092679",
            "telephone_number": "801-870-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S 1100 E STE 203",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052463",
            "telephone_number": "801-983-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STOKES",
        "credential": "CSW, LSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "6817632-6006",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "6817632-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STOKE",
            "last_name": "SMITH",
            "credential": "STOKES SMITH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.