Kathleen Judge Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082405 Issued in DC

Practice address

828 Evarts St NE
Washington, DC 20018-1722

Phone

(240) 725-2543

NPI assigned

Jan 26, 2017

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1356888457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181722",
            "telephone_number": "240-725-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181722",
            "telephone_number": "240-725-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606604302",
            "country_code": "US",
            "telephone_number": "773-728-1000 x2196",
            "fax_number": "773-765-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "JUDGE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith@pathwaysdc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "828 Evarts St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200181722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen L Smith, RD
• Karen L. Smith, MD
• Karen Lisa Smith, MD
• Karen Patricia Smith, RPH
• Kathia Tawana Shinad Smith, MD MS
• Kaylah Smith
• Keann Smith
• Kelby Smith
• Kelley Jenean Smith
• Kellie Smith

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.