Shawn Angelique Smith, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

080800-1 Issued in NY

Practice address

56 Beach St
Staten Island, NY 10304-2702

Phone

(718) 720-2603

NPI assigned

Mar 19, 2014

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1467879197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 NOAH RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021345",
            "telephone_number": "347-977-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BEACH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042702",
            "telephone_number": "718-720-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWN",
        "middle_name": "ANGELIQUE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Smith
• Qiana Smith
• Rachel E Smith, FNP-C
• Riki Smith, CASAC-T, FAMILY DEV.
• Shakia Smith
• Stacey Smith
• Tara Nelson Smith, MS, PT
• Tennyson Antonio Smith
• Tiffany Smith
• Tina Marie Smith, RPH

• Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.