Organization Active NPI

Smith Therapy, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1508282666
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09775 Issued in MD
Legal business name
SMITH THERAPY, LLC
Practice address
1800 N Charles St
Suite 204
Baltimore, MD 21201-5920
Phone
(443) 869-6584
Fax
(443) 869-6127
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Ms. Ann Virginia Smith, LCSW-C
Title
Owner
Phone
(443) 869-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09775 MD Primary

Addresses

Primary practice location

1800 N Charles St
Suite 204
Baltimore, MD 21201-5920

Mailing address

1800 N Charles St
Suite 204
Baltimore, MD 21201-5920
Phone (443) 869-6584

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1508282666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "443-869-6584",
            "fax_number": "443-869-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "443-869-6584",
            "fax_number": "443-869-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-869-6584",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.