Active NPI
Robert Lamont Smith Sr., MSW, LCSW, LCAS, CCS
- Addiction (Substance Use Disorder) Counselor
- Raeford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1054
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111911 | Medicaid | SC | |
| 6111911 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1054 | NC | MD | Clinical Psychologist |
| 1104 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&C Consulting Group, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Peachtree Behavioral LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Building Blocks Center | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| New Life Center LLC | Clinical | Current | 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 | Past | 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.
-
- Clinical Social Worker
- Ponte Vedra, FL
- NPI 1609746494
-
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
- NPI 1073408134
-
- Community/Behavioral Health Agency
- Monroe, NC
- NPI 1477039584
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Laurinburg, NC
- NPI 1013484419
Addiction (Substance Use Disorder), SC
-
- Clinical Social Worker
- Raeford, NC
- NPI 1093016354
-
- Community/Behavioral Health Agency
- Raeford, NC
- NPI 1124323688
-
- Community/Behavioral Health Agency
- Lumberton, NC
- NPI 1932304714
Clinical
-
- Addiction (Substance Use Disorder) Counselor
- Fayetteville, NC
- NPI 1083849400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.