George B Smith LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001940A Issued in IN

Legal business name

GEORGE B SMITH LCSW LLC

Practice address

70 E 91St St Ste 110
Indianapolis, IN 46240-1550

Phone

(317) 627-3576

NPI assigned

Jul 17, 2017

Organization subpart

No

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

Authorized official

Name

George Smith, LCSWNPI 1255475414

Title

Clinical Social Worker

Phone

(317) 627-3576

Specialties & licenses 1

Addresses

Other names 1

• Clinical Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George B Smith, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1255475414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578086047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401550",
            "telephone_number": "317-627-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 91ST ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401550",
            "telephone_number": "317-627-3576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 8th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016861",
            "country_code": "US",
            "telephone_number": "317-627-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGE B SMITH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "317-627-3576",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001940A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brooke George
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• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.