Organization Active NPI

Smith Clinical Social Work Services, Inc

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1386851210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20 Issued in SC
Legal business name
SMITH CLINICAL SOCIAL WORK SERVICES, INC
Practice address
110 Manly St
Greenville, SC 29601-3025
Phone
(864) 298-8026
Fax
(864) 298-8032
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elaine Smith, MSWNPI 1568575124
Title
Clinical Social Worker
Phone
(864) 298-8026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20 SC Primary

Addresses

Primary practice location

110 Manly St
Greenville, SC 29601-3025

Mailing address

110 Manly St
Greenville, SC 29601-3025
Phone (864) 298-8026

Other identifiers 1

IdentifierTypeStateIssuer
1568575124OtherSCSS# NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386851210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-298-8026",
            "fax_number": "864-298-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013025",
            "telephone_number": "864-298-8026",
            "fax_number": "864-298-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CLINICAL SOCIAL WORK SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "864-298-8026",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS# NPI",
            "identifier": "1568575124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

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