Bradley S. Smith, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1200362-SUPV Issued in OH

Practice address

25 N Canfield Niles Rd
Austintown, OH 44515-2328

Phone

(330) 797-8800

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1407236508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 ANGILINE DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126573",
            "telephone_number": "330-507-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-797-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "S.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1200362-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200362-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayler Simmons, MA
• Jennifer L Skibo, PT
• Ray Michael Slivochka, PHARMACIST
• Lori Sliwinski
• Rosemary M Smereka, LPC-S
• Christi Jo Smith
• Christina Kay Smith
• Donald Leroy Smith III
• Sierra Smith
• Stephany Marie Smith, MSN, APRN, PMHNP-BC

• Clinical Social Worker in Austintown, OH
• Providers in Austintown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.