Sally A Smith, LISW ACP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6244 Issued in SC

Practice address

150 BW Thomas Dr
Ste 125
Ft Mill, SC 29708

Phone

(803) 547-7099

Fax

(803) 548-5383

NPI assigned

Dec 12, 2006

Last updated

Feb 6, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Center for Personal Growth

  • Social Worker
  • Fort Mill, SC
  • NPI 1790935336
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1386705564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3327",
            "city": "FT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-547-7099",
            "fax_number": "803-548-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BW THOMAS DR",
            "address_2": "STE 125",
            "city": "FT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-547-7099",
            "fax_number": "803-548-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SALLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LISW ACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "6244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hergott Smith, LMBT
• Justin Taylor Smith, MD
• Kylee Elizabeth Smith, M.A., CCC-SLP
• Lauren Smith, MMFT
• Rebecca L Smith, MD
• Sarah Komornik Smith, MSP CCC SLP
• Jodi Smock, LDO
• Angela Sneed
• Kristie Snell, RRT
• Felicia Snider, SLP, RBT

• Social Worker in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.