Aracoma S Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004460 Issued in VA

Practice address

3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361

Phone

(540) 361-1844

Fax

(540) 361-1874

NPI assigned

May 13, 2006

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aracoma Smith, LCSW, PLLC

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1649316282
  Medicare reassignment NPD Authorized official
• Mary Washington Healthcare Specialty Services LLC

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1821033010
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1356392476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 LATIMERS KNOLL CT STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087361",
            "telephone_number": "540-361-1844",
            "fax_number": "540-361-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 LATIMERS KNOLL CT STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087361",
            "telephone_number": "540-361-1844",
            "fax_number": "540-361-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ARACOMA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "267533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smart Prime Care Provider PLLC (Smart Prime Care)
• Samuel C Smart, DOCTOR OF OPTOMETRY
• Smile Co FXBG Dentistry, PC
• Smileville PLLC (Reform Dentistry)
• Lavonna Smith-Tyler
• Ashley Dawn Smith, LMT
• Barbara Sprinkle Smith, B.S., C. M.T.
• Betsy Smith, PHARMD
• Bridget Marie Smith, DO
• Catherine Bumgarner Smith, LPC

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.