Individual provider Active NPI

Cheryl Delila Smith, LCSW

  • Clinical Social Worker
  • Albemarle, NC
National Provider Identifier
1376587964
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004571 Issued in NC
Practice address
29393 Nelson Mountain Rd
Albemarle, NC 28001-7520
Phone
(704) 763-3353
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004571 NC Primary

Addresses

Primary practice location

29393 Nelson Mountain Rd
Albemarle, NC 28001-7520

Mailing address

29393 Nelson Mountain Rd
Albemarle, NC 28001-7520
Phone (704) 763-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040817001156 NC Practitioner - Clinical Social Worker 6204809254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McCombs Counseling and Consulting IncGroup PAC ID 0244474005, 2 clinicians

Practice addresses (Care Compare)

608 McCombs Ave
Kannapolis, NC 28083-3605
Phone (704) 933-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newlife Counseling and Consultation, PLLC Clinical CurrentSince Dec 19, 2025 Accepting new patients
McCombs Counseling & Consulting, Inc CurrentSince Jan 1, 2025 Accepting new patients
Paradigm Health Care Services, LLC PastSince Oct 1, 2007 Accepting new patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients

Locations

17105 Kenton Dr
Ste 205C
Cornelius, NC 28031
Phone (704) 380-0106

17105 Kenton Dr
Ste 200C
Cornelius, NC 28031
Phone (704) 997-8698

608 McCombs Ave
Kannapolis, NC 28083
Phone (704) 933-0007

Organizations & group practices 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1376587964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29393 NELSON MOUNTAIN RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017520",
            "telephone_number": "704-763-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29393 NELSON MOUNTAIN RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017520",
            "telephone_number": "704-763-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHERYL",
        "middle_name": "DELILA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.