Gwendolyn Marie Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15235 Issued in LA

Practice address

3535 Knight LN TRLR 8
Lake Charles, LA 70605-1233

Phone

(337) 986-9197

Fax

(337) 588-4179

NPI assigned

May 3, 2019

Last updated

May 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Gwen Smith Other name

Medicare fee-for-service enrollment

Enrolled in LA

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

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.

• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Administrators of the Tulane Education Fund

  dba Tulane University Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • New Orleans, LA
  • NPI 1790354595
  NPD
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD
• Allison & Associates Counseling and Education Services, LLC

  • Mental Health Counselor
  • Lake Charles, LA
  • NPI 1184389447
  NPD (past)
• Gulf Coast Counseling

  dba Gulf Coast Counseling LLC

  • Mental Health Counselor
  • Pensacola, FL
  • NPI 1891426458
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1366007536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13047",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706123047",
            "telephone_number": "337-855-9023",
            "fax_number": "337-855-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 KNIGHT LN TRLR 8",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051233",
            "telephone_number": "337-986-9197",
            "fax_number": "337-588-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GWENDOLYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "15513",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "15235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Constance Smith
• Danielle Sharonne Smith
• David Smith, BS
• Deleschia Jeanette Smith
• Derrian Smith, PHARMD
• Hali Smith, DPT
• Hayley Brooke Smith
• Jairus James Matthew Smith, PHARM.D
• Jennifer Stewart Smith, OD
• Jerrold Walker Smith, RPH

• Clinical Social Worker in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.