Nicole Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022354 Issued in PA

Practice address

3235 N 3Rd St
Harrisburg, PA 17110-1308

Phone

(717) 234-3839

NPI assigned

Jul 14, 2022

Last updated

Apr 5, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2023 through Feb 1, 2027

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurofeedback and Counseling Center of PA

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1366911836
  NPD (past)
• Psychiatric Psychological & Therapeutic

  dba New Passages

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1750398715
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1467186312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FAIRFAX VLG",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101308",
            "telephone_number": "717-234-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashon Smith, MA
• Lora Jane Smith, OD
• Marcus Andrew Smith
• Mark Leonard Smith, P.T.
• Meagan Elizabeth Smith, GC
• Ninette Marie Smith
• Poncie Smith
• Samantha Smith
• Shelbi C Smith, DNP, CRNA
• Skylar Wyatt Smith, LPC

• Clinical Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.