Organization Active NPI

Keep Smiling Therapy LCSW PLLC

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1396364287
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KEEP SMILING THERAPY LCSW PLLC
Practice address
555 Broadhollow Rd Ste 101
Melville, NY 11747-5001
Phone
(631) 505-2961
Fax
(631) 393-2909
NPI assigned
Apr 11, 2020
Last updated
Apr 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Authorized official

Name
Chanell Smiley, LCSWNPI 1356811947
Title
Social Worker/Founder
Phone
(516) 473-3195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

555 Broadhollow Rd Ste 101
Melville, NY 11747-5001

Mailing address

555 Broadhollow Rd Ste 101
Melville, NY 11747-5001
Phone (631) 505-2961

Other identifiers 1

IdentifierTypeStateIssuer
05493678MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@keepsmilingtherapy.com Direct

National Provider Directory

National Provider Directory

Locations

555 Broadhollow Rd
Ste 101
Melville, NY 11747
Phone (631) 375-9545

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": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1396364287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD STE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475001",
            "telephone_number": "631-505-2961",
            "fax_number": "631-393-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD STE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475001",
            "telephone_number": "631-505-2961",
            "fax_number": "631-393-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEP SMILING THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "CHANELL",
        "authorized_official_title_or_position": "SOCIAL WORKER/FOUNDER",
        "authorized_official_telephone_number": "516-473-3195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05493678",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@keepsmilingtherapy.com",
            "affiliation": "N",
            "endpointDescription": "www.keepsmilingtherapy.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "555 Broadhollow Rd Ste 101",
            "city": "Melville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117475001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.