Individual provider Active NPI

Trichele Smith, LMSW

  • Social Worker
  • Minot, ND
National Provider Identifier
1497416507
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6186 Issued in ND
Practice address
1705 4TH Ave NW
Minot, ND 58703-2912
Phone
(701) 839-0474
Fax
(701) 839-0713
NPI assigned
Jan 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6186 ND
Social Worker 104100000X 6186 ND Primary

Addresses

Primary practice location

1705 4TH Ave NW
Minot, ND 58703-2912

Mailing address

10890 45TH Ave NW # 156
Sherwood, ND 58782-9701
Phone (701) 833-7812

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Minot

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20240327002502 ND Practitioner - Clinical Social Worker 5890131072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1705 4TH Ave NW
Minot, ND 58703-2912
Phone (701) 839-0474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6186NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trichele Smith Counseling, LLC CurrentSince Jan 13, 2024 Accepting new patients

Locations

1705 4th Ave NW
Minot, ND 58703
Phone (701) 839-0474

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1497416507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10890 45TH AVE NW # 156",
            "city": "SHERWOOD",
            "state": "ND",
            "postal_code": "587829701",
            "telephone_number": "701-833-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 4TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032912",
            "telephone_number": "701-839-0474",
            "fax_number": "701-839-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRICHELE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "6186",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minot",
            "affiliation": "N",
            "address_1": "1705 4th Ave NW",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587032912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.