Roger Smith, LCSW LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5099 Issued in LA

Legal business name

ROGER SMITH, LCSW LLC

Practice address

14317 Hickory Dr
Ponchatoula, LA 70454-6653

Phone

(985) 974-8172

Fax

(985) 386-0826

NPI assigned

Jul 14, 2009

Last updated

Jul 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger M Smith, LCSWNPI 1922015403

Title

Owner

Phone

(985) 974-8172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 3

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.

• Roger M. Smith, LCSW

  • Social Worker
  • Ponchatoula, LA
  • NPI 1922015403
  Medicare reassignment NPD Authorized official
• Ashlie B Lucas, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1508184987
  NPD (past)
• Miriam Steward, LCSW

  • Clinical Social Worker
  • Ponchatoula, LA
  • NPI 1184910754
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1447489224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 HICKORY DR.",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546653",
            "telephone_number": "985-974-8172",
            "fax_number": "985-386-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14317 HICKORY DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546653",
            "telephone_number": "985-974-8172",
            "fax_number": "985-386-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER SMITH, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-974-8172",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "LA",
            "license": "5099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.