Khalif Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

411 Andrews Rd Ste 130
Durham, NC 27705-2993

Phone

(919) 682-5777

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

No

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

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.

• Carolina Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1144524703
  NPD (past)
• Carolina Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1912144312
  NPD (past)
• Southeastern Services & More LLC

  • Multi-Specialty Clinic/Center
  • Whiteville, NC
  • NPI 1497476386
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1467068445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 GRAY GOOSE LOOP",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ANDREWS RD STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052993",
            "telephone_number": "919-682-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHALIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Smith
• Joshua Franklyn Smith, PA-C
• Kathryn Sara Smith, MSN, APRN, AGCNS-BC
• Katrina Nicole Smith, AGACNP-BC
• Kayla J Smith
• Kristin D Smith, NP
• Kristin Rene Smith, PHARMD
• Kylie Cassady Smith
• Lauren Polk Smith, PA-C
• Lazayrea Mona Smith

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.