Individual provider Active NPI

Rhonda Smith, DSW LCSW SAP

  • Clinical Social Worker
  • Laurel, MS
National Provider Identifier
1457754426
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C7817 Issued in MS
Practice address
2119 W 10TH St
Laurel, MS 39440-2535
Phone
(601) 580-4267
NPI assigned
Oct 3, 2014
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C7817 MS Primary
Social Worker 104100000X M7817 MS

Addresses

Primary practice location

2119 W 10TH St
Laurel, MS 39440-2535

Mailing address

2119 W 10TH St
Laurel, MS 39440-2535
Phone (601) 580-4267

Other practice location 1

723 Hardy St
Hattiesburg, MS 39401-3666
Phone (601) 620-0035

Other identifiers 1

IdentifierTypeStateIssuer
01623749MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229001049 MS Practitioner - Clinical Social Worker 7618290578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2119 W 10TH St
Laurel, MS 39440-2535
Phone (601) 580-4267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M7817MSMDSocial Worker
C7817MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda Smith DSW LCSW Sap PLLC Clinical CurrentSince Jun 25, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmcnair@direct.scrmc.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1457754426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 W 10TH ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402535",
            "telephone_number": "601-580-4267",
            "fax_number": "601-620-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 W 10TH ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394402535",
            "telephone_number": "601-580-4267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Hardy St",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394013666",
            "country_code": "US",
            "telephone_number": "601-620-0035",
            "fax_number": "601-620-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RHONDA",
        "credential": "DSW LCSW SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7817",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M7817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01623749",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.