David C Smith, LISW, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0008399 Issued in OH

Practice address

20525 Center Ridge Rd
Suite 365
Rocky River, OH 44116-3437

Phone

(866) 466-9591

Fax

(888) 521-1811

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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 OH

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health Services of Greater ClevelandGroup PAC ID 4688723943, 9 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.

• Behavioral Health Services of Greater Cleveland

  • Clinical Social Worker
  • Rocky River, OH
  • NPI 1659522423

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Fiala, Smith & Associates, LLC

  • Clinical Social Worker
  • Rocky River, OH
  • NPI 1508024555
  NPD (past) Authorized official
• Kenneth a. de Luca,PH.D. & Associates, Inc.

  • Psychologist
  • North Ridgeville, OH
  • NPI 1821018698
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1467471904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "STE 403",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163401",
            "telephone_number": "866-466-9591",
            "fax_number": "440-772-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "SUITE 365",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "866-466-9591",
            "fax_number": "888-521-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "981337",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0008399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Skinner, BC-HIS
• Richard G Skoula, D.D.S.
• Kevin Skrzyniecki
• Andrew M Smith, MSW, LISW-S
• Bryce Carsone Smith, OTD
• Justin J Smith, D.O.
• Sharon Snee
• Emily A Sokolowski, RD LD
• Soma Lotus Executive Coaching Counseling and Consulting (Anycia Grady)
• St. Vencint Charity Hospital

• Clinical Social Worker in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.