Arielle Elyce Smith, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023697 Issued in IL

Practice address

17901 Governors Hwy Ste 30
Homewood, IL 60430-1145

Phone

(618) 319-5669

NPI assigned

Aug 30, 2021

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eunoia Wellness Boutique

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1700512159
  NPD Authorized official

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1447928106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 30",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "618-319-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY STE 30",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301145",
            "telephone_number": "618-319-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ARIELLE",
        "middle_name": "ELYCE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Telehealth",
            "address_1": "409 Blackstone St",
            "city": "Thornton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604761001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Slaviero
• Michael Sean Slavin, D.D.S., M.S.
• William Richard Smigel, PHARMD
• Miyanna Smith-Stamps
• Antoinette Smith
• Jalyn Antoinette Smith
• Jan L Smith, MA
• Jerren Smith, PT
• Layla Smith
• Lori Anne Smith

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.