Active NPI
Nelson Alexander Smith, LCSW
- Social Worker
- Tacoma, WA
National Provider Identifier
1568908812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 62976
- Practice address
- 9600 Veterans Dr SW
Tacoma, WA 98493-3111 - Phone
- (253) 583-2593
- NPI assigned
- Jan 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 62976 | TX | Primary |
Addresses
Primary practice location
9600 Veterans Dr SW
Tacoma, WA 98493-3111
Mailing address
2602 Westridge Ave W Apt N104
Tacoma, WA 98466-8262
Phone (404) 539-3107
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1568908812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 WESTRIDGE AVE W APT N104",
"city": "TACOMA",
"state": "WA",
"postal_code": "984668262",
"telephone_number": "404-539-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984933111",
"telephone_number": "253-583-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NELSON",
"middle_name": "ALEXANDER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-10",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "62976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.