Active NPI
Faren Chandler Smith, MSW
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1477018562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SC60902329
- Practice address
- 3754 W Indian Trail Rd
Spokane, WA 99208-4700 - Phone
- (509) 559-3100
- NPI assigned
- Feb 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | SC60902329 | WA | |
| Mental Health Counselor | 101YM0800X | SC60902329 | WA | Primary |
Addresses
Primary practice location
3754 W Indian Trail Rd
Spokane, WA 99208-4700
Mailing address
11826 N Mayfair Rd Apt 34
Spokane, WA 99218-1863
Phone (509) 386-6520
Other practice location 1
2330 Eastgate St Ste 207
Walla Walla, WA 99362-1559
Phone (509) 593-8122 ext. 4
Other practice location 2
3321 W Kennewick Ave Ste 150
Kennewick, WA 99336
Phone (509) 783-2085 ext. 4
Other practice location 3
165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60902329 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1477018562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11826 N MAYFAIR RD APT 34",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181863",
"telephone_number": "509-386-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 W INDIAN TRAIL RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992084700",
"telephone_number": "509-559-3100"
}
],
"practiceLocations": [
{
"address_1": "2330 Eastgate St Ste 207",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993621559",
"country_code": "US",
"telephone_number": "509-593-8122 x4",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3321 W Kennewick Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "99336",
"country_code": "US",
"telephone_number": "509-783-2085 x4",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "165 E Hawthorne Ave",
"address_purpose": "LOCATION",
"city": "Colville",
"state": "WA",
"postal_code": "991142629",
"country_code": "US",
"telephone_number": "509-684-4597",
"fax_number": "509-684-5286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "FAREN",
"middle_name": "CHANDLER",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-04",
"last_updated": "2021-02-17",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60902329",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "SC60902329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.