Chanao Smith, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016548 Issued in NC

Practice address

1 Buffalo Ave NW
Concord, NC 28025-4417

Phone

(704) 603-8285

Fax

(704) 353-7901

NPI assigned

Apr 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chanao Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• S&H Youth and Adult Services, Inc.

  • Community/Behavioral Health Agency
  • Salisbury, NC
  • NPI 1013117720
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1548902745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 RED BIRD CIR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257268",
            "telephone_number": "980-322-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUFFALO AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254417",
            "telephone_number": "704-603-8285",
            "fax_number": "704-353-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5736 N Tryon St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282136898",
            "country_code": "US",
            "telephone_number": "704-603-8285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281445412",
            "country_code": "US",
            "telephone_number": "704-603-8285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHANAO",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANAO",
            "last_name": "SMITH",
            "credential": "LCSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anthony George Smith, M.D.
• Audrey Camille Smith, LPCA
• Austin Smith
• Casey Michael Smith, LCSW
• Cassiel Sundiata Sterling Smith, LPCA, LCASA
• Crystal P Smith, COTA/L
• Elecia Nycole Anne Smith
• Elisha John Smith, NP
• Grace Kimburi Smith, LCSW
• Gregory Scott Smith, CRNA

• Clinical Social Worker in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.