Active NPI
Smith Family Community Services LLC
- Clinical Social Worker
- Concord, NC
National Provider Identifier
1558130237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SMITH FAMILY COMMUNITY SERVICES LLC
- Doing business as
- SMITH FAMILY COMMUNITY SERVICES
- Practice address
- 11 Union St S
Concord, NC 28025-5059 - Phone
- (704) 968-0095
- NPI assigned
- Dec 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kashina Denise Darden
- Title
- Executive Director
- Phone
- (704) 968-0095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11 Union St S
Concord, NC 28025-5059
Mailing address
11 Union St S
Concord, NC 28025-5059
Other names 1
- SMITH FAMILY COMMUNITY SERVICES
National Provider Directory
National Provider Directory- Tax ID family
- Smith Family Community Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Concord, NC
- NPI 1124894605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Concord, NC
- NPI 1245007558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1558130237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 UNION ST S",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 UNION ST S",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255059",
"telephone_number": "704-968-0095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH FAMILY COMMUNITY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "DARDEN",
"authorized_official_first_name": "KASHINA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-968-0095"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SMITH FAMILY COMMUNITY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.