Kristie Wallace Smith, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6863 Issued in CT

Practice address

107 Devonwood LN
New Canaan, CT 06840-3337

Phone

(203) 331-5999

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silvermine Therapy LLC

  • Mental Health Counselor
  • New Canaan, CT
  • NPI 1902505803
  NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1447957972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DEVONWOOD LN",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403337",
            "telephone_number": "203-331-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DEVONWOOD LN",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403337",
            "telephone_number": "203-331-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIE",
        "middle_name": "WALLACE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Roger Silva, DPT
• Silver Hill Hospital, Inc
• Silver Hill Therapeutic Services, LLC
• Silvermine Therapy LLC
• James A Slater, MD
• Nancie R Spector, PH.D.
• Isabel Spoehr, LCSW
• Ramani Sriram
• Jerusha E Stahl, MD
• Jennie Thomas Stanford, M.D.

• Clinical Social Worker in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.