Octavia Michelle Smith, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

24335 Issued in MD

Practice address

10632 Little Patuxent Pkwy
Columbia, MD 21044-3273

Phone

(443) 995-5984

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1467034298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 JACOBS RD",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442903",
            "telephone_number": "240-755-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "443-995-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OCTAVIA",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "24335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osmith@urbanmh.com",
            "affiliation": "Y",
            "affiliationName": "Urban Institute of Mental Health, LLC",
            "address_1": "10632 Little Patuxent Pkwy",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osmith@urbanmh.com",
            "affiliation": "Y",
            "affiliationName": "Urban Institute of Mental Health, LLC",
            "address_1": "10632 Little Patuxent Pkwy",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nabraya Smith
• Naeemah A Smith, LMSW
• Natasha L Smith, PH.D.
• Niyla Smith
• Nordia Smith
• Rashia T Smith, RN
• Richard Dale Smith, PA
• Sarah Smith, RN
• Sharon Marie Smith, L.AC.
• Sydne Paige Smith, RDH

• Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.