Paul Stoddard Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3090852-3501 Issued in UT

Practice address

446 E 450 S
Clearfield, UT 84015-1736

Phone

(801) 815-3443

Fax

(801) 683-8962

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

Practice roles

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.

• Jordan West Family Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Jordan, UT
  • NPI 1508811480
  NPD (past)
• Youth Health Associates, LLC

  • Psychiatric Residential Treatment Facility
  • Clearfield, UT
  • NPI 1255699831
  NPD (past)
• Youth Health Associates, LLC

  • Psychiatric Residential Treatment Facility
  • Clearfield, UT
  • NPI 1669857629
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1396287199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 E 450 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E 450 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151736",
            "telephone_number": "801-815-3443",
            "fax_number": "801-683-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "STODDARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3090852-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikelle Shupe
• Simplified Wellness
• Jasmine Slone, DPT
• Aaron Smith
• Desiree Smith
• Peter Allen Smith
• Shannon K. Smith
• Clifford Owen Sorensen, DDS
• Terri Sory, MPA
• Specialty Marketing, LLC (Dental On Location)

• Clinical Social Worker in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.