Stacey Charlene Smith, LCSW
Individual provider Active NPI Clinical Social Worker · Dodson, LA
NPI 1356872808 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1356872808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW006018 (GA)
- Practice address
- 4366 Highway 167
Dodson, LA 71422-3257 - Phone
- (318) 302-1053
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mental Health Specialty Group PA
Practice addresses (Care Compare)
3424 Peachtree Rd NE
Suite 2200
Atlanta, GA 30326-1156
Phone (323) 205-7088
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in LA, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190311001801 | LA | Practitioner - Clinical Social Worker | 4880933704 | Reassigns benefits to 2 organizations |
| I20240904003713 | GA | Practitioner - Mental Health Counselor | 4880933704 | Reassigns benefits to 2 organizations |
| I20241016004016 | GA | Practitioner - Clinical Social Worker | 4880933704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11176 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area Community SVC. Board | Current |
Accepting new patients | |
| Central la Human Services District | Current | Accepting new patients | |
| Central la Human Services District | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Mental Health Specialty Group PA | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
601 11th Ave
Albany, GA 31701
Phone (229) 352-9368
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
694 Government St
Marksville, LA 71351
Phone (318) 253-9638
1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698
Interoperability endpoints
- stacey.greer.1@30520.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11176 | LA | |
| Clinical Social Worker | 1041C0700X | CSW006018 | GA | Yes |
Addresses
Primary practice location
4366 Highway 167
Dodson, LA 71422-3257
Mailing address
4366 Highway 167
Dodson, LA 71422-3257
Phone (318) 302-1053
Other providers in Dodson, LA
- Courtnie Lynn Duff
- Keith Gerard Fayard Jr.
- Luis Octavio Mendoza III
- Segundo G Roncal
- Josh Patrick Roton
All providers in Dodson, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.