Active NPI
Keep Smiling Therapy LCSW PLLC
- Clinical Social Worker
- Melville, NY
National Provider Identifier
1396364287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chanell Smiley, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05493678 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@keepsmilingtherapy.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- West Babylon, NY
- NPI 1356811947
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.