Paul Smokowski, PH.D., LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014917 Issued in NC

Practice address

800 N Walnut St
Lumberton, NC 28358-4832

Phone

(919) 428-5716

NPI assigned

Jan 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Robeson County Teen Court & Youth Services

  • Mental Health Counselor
  • Lumberton, NC
  • NPI 1770235657
  NPD Authorized official

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1598417479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 TWEETSIE LN W",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286046612",
            "telephone_number": "919-428-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N WALNUT ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584832",
            "telephone_number": "919-428-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Tweetsie Ln W",
            "address_purpose": "LOCATION",
            "city": "Banner Elk",
            "state": "NC",
            "postal_code": "286046612",
            "country_code": "US",
            "telephone_number": "919-428-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOKOWSKI",
        "first_name": "PAUL",
        "credential": "PH.D., LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nc-yvpc.org",
            "affiliation": "N",
            "endpointDescription": "North Carolina Youth Violence Prevention Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 N Walnut St",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283584832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maribel Cristina Smith, LCSWA, MSW
• Steven Edward Smith, DDS
• Tasmon Keyon Smith, LCSWA
• Terry L Smith Sr., PTA
• Saksith Smithason, M.D.
• Karson Irene Smuda, DO
• Hasham Sohail, MD
• Beza Solomon
• South Lumberton Development Association Inc
• Southeasterm Hearing Center, Inc

• Clinical Social Worker in Lumberton, NC
• Providers in Lumberton, 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 Jan 22, 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.