Damon Quinn Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1115C Issued in AL

Practice address

126 E Tennessee St
Florence, AL 35630-5623

Phone

(256) 468-5610

Fax

(256) 718-2377

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Remedy Behavioral Health LLCGroup PAC ID 3375958853, 46 clinicians

Practice addresses (Care Compare)

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.

• Remedy Behavioral Health, LLC

  dba Remedy Behavioral Health

  • Psychiatry Physician
  • Florence, AL
  • NPI 1013517317
  Medicare reassignment Care Compare group NPD
• Shoals NP Homecare, LLC

  • Home Health Agency
  • Town Creek, AL
  • NPI 1083178818
  NPD
• Remedy Healthcare LLC

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1477233476
  NPD (past)
• Serenus Senior Care Advisors PLLC

  dba Serenus Neuropsychiatry Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, AL
  • NPI 1154860153
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1467059055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E TENNESSEE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305623",
            "telephone_number": "256-468-5610",
            "fax_number": "256-718-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E TENNESSEE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305623",
            "telephone_number": "256-468-5610",
            "fax_number": "256-718-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAMON",
        "middle_name": "QUINN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1115C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amberly Dawn Smith, CRNP
• Amy Katherine Smith
• Carol Hwang Smith, D.M.D.
• Chelsea Smith
• Courtney Smith
• Edward Wilder Smith Jr., D.M.D.
• J D Smith, DPM
• Kyle Smith, LICSW
• Leah Elder Smith, LICSW
• Martin J Smith, MD

• Clinical Social Worker in Florence, AL
• Providers in Florence, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.