Ernest Smith, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19000 Issued in MN

Practice address

8401 Wayzata Blve
Suite 370
Golden Valley, MN 55426-1379

Phone

(763) 544-1006

Fax

(763) 544-1008

NPI assigned

Oct 22, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hoy & Associates Inc.

  • Community/Behavioral Health Agency
  • Golden Valley, MN
  • NPI 1831239003
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1346678836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081801",
            "telephone_number": "651-366-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVE",
            "address_2": "SUITE 370",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261379",
            "telephone_number": "763-544-1006",
            "fax_number": "763-544-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERNEST",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Slezak-Moser, MA
• Nikole Allyce Slocum, LPCC
• Deborah Slovut
• Anna Smith, CCC-SLP
• David Taylor Smith, PH.D., LICSW
• Laura Smith, PSY.D
• Trizer Smith
• Snap Medical Supply LLC
• Soderberg Physical Therapy LLC
• Eldon Soderberg, PT

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.