Individual provider Active NPI

Sierra Hope Smith

  • Clinical Social Worker
  • Enid, OK
National Provider Identifier
1346809266
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1420 W Owen K Garriott Rd Ste 4C
Enid, OK 73703-5751
Phone
(580) 233-5900
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1420 W Owen K Garriott Rd Ste 4C
Enid, OK 73703-5751

Mailing address

1420 W Owen K Garriott Rd Ste 4C
Enid, OK 73703-5751
Phone (580) 233-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230106001751 OK Practitioner - Clinical Social Worker 3375913494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Making a Difference Inc. Single Specialty CurrentSince Sep 16, 2022 Accepting new patients

Locations

129 N University Ave
Enid, OK 73701
Phone (580) 233-5900

1420 W Owen K Garriott Rd
Ste 4C
Enid, OK 73703
Phone (580) 233-5900

Organizations & group practices 1

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1346809266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W OWEN K GARRIOTT RD STE 4C",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035751",
            "telephone_number": "580-233-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W OWEN K GARRIOTT RD STE 4C",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035751",
            "telephone_number": "580-233-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIERRA",
        "middle_name": "HOPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.