Individual provider Active NPI

Casey Lynn Smith-Speirs, LCSW

  • Clinical Social Worker
  • Vernon, CT
National Provider Identifier
1316330434
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8957 Issued in CT
Practice address
27 Naek Rd
Suite 4
Vernon, CT 06066-3965
Phone
(860) 872-9825
Fax
(860) 870-9348
NPI assigned
Mar 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8957 CT Primary

Addresses

Primary practice location

27 Naek Rd
Suite 4
Vernon, CT 06066-3965

Mailing address

27 Naek Rd
Suite 4
Vernon, CT 06066-3965
Phone (860) 872-9825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20180307000591 VT Practitioner - Clinical Social Worker 7517287162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Counseling and Support Services IncGroup PAC ID 3678545159, 14 clinicians

Practice addresses (Care Compare)

107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 393-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8957CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Burlington Inc CurrentSince Mar 5, 2018 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Mar 5, 2018 Accepting new patients

Locations

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1316330434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NAEK RD",
            "address_2": "SUITE 4",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663965",
            "telephone_number": "860-872-9825",
            "fax_number": "860-870-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NAEK RD",
            "address_2": "SUITE 4",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663965",
            "telephone_number": "860-872-9825",
            "fax_number": "860-870-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-SPEIRS",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.