Individual provider Active NPI

Robert Lamont Smith Sr., MSW, LCSW, LCAS, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Raeford, NC
National Provider Identifier
1447389853
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1054 Issued in NC
Practice address
402 Harris Ave
Raeford, NC 28376-3112
Phone
(910) 848-1638
Fax
(910) 848-1639
NPI assigned
Mar 2, 2007
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1054 NC Primary
Clinical Social Worker 1041C0700X 1104 SC

Addresses

Primary practice location

402 Harris Ave
Raeford, NC 28376-3112

Mailing address

PO Box 254
Raeford, NC 28376-0254
Phone (910) 848-1638

Other identifiers 2

IdentifierTypeStateIssuer
6111911MedicaidSC
6111911MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, GA, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100830000124 NC Practitioner - Clinical Social Worker 7810011780 Reassigns benefits to 2 organizations
I20210204000431 SC Practitioner - Clinical Social Worker 7810011780 Reassigns benefits to 1 organization
I20251215001902 GA Practitioner - Clinical Social Worker 7810011780 Reassigns benefits to 1 organization
I20260127004205 FL Practitioner - Clinical Social Worker 7810011780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2255 Cumberland Pkwy SE
BLDG 1600
Atlanta, GA 30339-4515

PO Box
Suite 2153
Laurinburg, NC 28353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1054NCMDClinical Psychologist
1104SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R&C Consulting Group, Inc. Addiction (Substance Use Disorder) CurrentSince Aug 7, 2018 Accepting new patients
Peachtree Behavioral LLC Addiction (Substance Use Disorder) CurrentSince Jan 30, 2025 Accepting new patients
Building Blocks Center Addiction (Substance Use Disorder) CurrentSince Sep 2, 2020 Accepting new patients
New Life Center LLC Clinical CurrentSince Jan 17, 2025 Accepting new patients
Sunlight Behavior Center, Inc Addiction (Substance Use Disorder) Past Accepting new patients
Hoke County Behavioral Center, Inc. Clinical Past Accepting new patients
Southeastern Behavioral Healthcare Services Clinical PastSince Sep 22, 2012 Accepting new patients

Locations

90 Fort Wade Rd
Ste 1001028
Ponte Vedra, FL 32081
Phone (910) 506-4018

2255 Cumberland Pkwy SE
Bldg 1600
Atlanta, GA 30339
Phone (404) 441-3235

1781 S Main St
#B
Laurinburg, NC 28352
Phone (910) 506-4018

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

404 S Main St
Mc Coll, SC 29570
Phone (843) 400-5044

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1447389853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760254",
            "telephone_number": "910-848-1638",
            "fax_number": "910-848-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763112",
            "telephone_number": "910-848-1638",
            "fax_number": "910-848-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "LAMONT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1054",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "1104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111911",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.