Priscilla Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6906387 Issued in FL

Practice address

18990 NE 49TH St
Williston, FL 32696-1555

Phone

(352) 207-5768

NPI assigned

Aug 11, 2010

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

Other identifiers 2

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1497060784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18990 NE 49TH ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326961555",
            "telephone_number": "352-207-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18990 NE 49TH ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326961555",
            "telephone_number": "352-207-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PRISCILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "6906387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692696798",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692696796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanabiz LLC
• Terri Savage, PHARMD
• Kenneth A Schwiebert, D.M.D.
• Maria Scott-Robinson
• Teresa Sever, RPH
• Judith Teresa Sparrow, LMT
• Stanley St Hilaire, PHARMD
• Gregory Lee Stamper, DO
• Heather Nicole Stancil, APRN
• Sally A. Struss, PTA

• Clinical Social Worker in Williston, FL
• Providers in Williston, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.