Individual provider Active NPI

Gail Melinda Smith, LISW

  • Clinical Social Worker
  • Strongsville, OH
National Provider Identifier
1497731558
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10007104 Issued in OH
Practice address
14843 W Sprague Rd
Suite a
Strongsville, OH 44136-6601
Phone
(440) 234-9955
Fax
(440) 234-5994
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10007104 OH Primary

Addresses

Primary practice location

14843 W Sprague Rd
Suite a
Strongsville, OH 44136-6601

Mailing address

2503 Stoney Run TRL
Broadview Heights, OH 44147-2560
Phone (440) 546-0608

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10007104OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Counseling Center LLC PastSince Jul 1, 2023 Accepting new patients

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1497731558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 STONEY RUN TRL",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472560",
            "telephone_number": "440-546-0608",
            "fax_number": "440-846-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 W SPRAGUE RD",
            "address_2": "SUITE A",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366601",
            "telephone_number": "440-234-9955",
            "fax_number": "440-234-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GAIL",
        "middle_name": "MELINDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "10007104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.