Bianca Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

68043 Issued in TX

Practice address

22623 Winter Maple TRL
Spring, TX 77373-2075

Phone

(228) 261-9625

NPI assigned

Mar 29, 2022

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)

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 and National Provider Directory roles.

• Ikultivate Counseling and Consulting. PLLC

  • Clinical Social Worker
  • Spring, TX
  • NPI 1265170773
  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1457091589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22623 WINTER MAPLE TRL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732075",
            "telephone_number": "228-261-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22623 WINTER MAPLE TRL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732075",
            "telephone_number": "228-261-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BIANCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ross Smathers
• Smile Theory
• Smilecrafters PA
• Allison Elizabeth Smith, BCBA, LBA
• Amber Rachel Smith, D.C.
• Brandon Smith, LP
• Breanna Nicole Smith
• Carol Ann Smith, LCSW
• Dakota Danielle Smith
• Darci Smith, SLP

• Clinical Social Worker in Spring, TX
• Providers in Spring, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.