Organization Active NPI

Deborah Smith LCSW PA

  • Clinical Social Worker
  • New Port Richey, FL
National Provider Identifier
1407083702
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEBORAH SMITH LCSW PA
Practice address
7617 Cita LN Unit 102
Mail Station 2, Box 11
New Port Richey, FL 34653-6216
Phone
(727) 232-1689
Fax
(866) 595-8350
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Deborah Smith, LCSWNPI 1083819940
Title
Owner
Phone
(727) 232-1689

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7617 Cita LN Unit 102
Mail Station 2, Box 11
New Port Richey, FL 34653-6216

Mailing address

7617 Cita LN Unit 102
Mail Station 2, Box 11
New Port Richey, FL 34653-6216
Phone (727) 232-1689

Other identifiers 1

IdentifierTypeStateIssuer
768390100MedicaidFL

National Provider Directory

National Provider Directory

Locations

7617 Cita Ln
Unit 102
New Port Richey, FL 34653
Phone (727) 232-1689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1407083702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 CITA LN UNIT 102",
            "address_2": "MAIL STATION 2, BOX 11",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536216",
            "telephone_number": "727-232-1689",
            "fax_number": "866-595-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 CITA LN UNIT 102",
            "address_2": "MAIL STATION 2, BOX 11",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536216",
            "telephone_number": "727-232-1689",
            "fax_number": "866-595-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH SMITH LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-232-1689",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768390100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.