Individual provider Active NPI

Minya Linet Smith, MSSA

  • Social Worker
  • Beachwood, OH
National Provider Identifier
1619086295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0600510 Issued in OH
Practice address
23240 Chagrin Blvd
Suite 500
Beachwood, OH 44122-5404
Phone
(216) 292-6007
Fax
(216) 292-7352
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0600510 OH Primary

Addresses

Primary practice location

23240 Chagrin Blvd
Suite 500
Beachwood, OH 44122-5404

Mailing address

23240 Chagrin Blvd
Suite 500
Beachwood, OH 44122-5404
Phone (216) 292-6007

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S0600510OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Associates, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619086295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23240 CHAGRIN BLVD",
            "address_2": "SUITE 500",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225404",
            "telephone_number": "216-292-6007",
            "fax_number": "216-292-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23240 CHAGRIN BLVD",
            "address_2": "SUITE 500",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225404",
            "telephone_number": "216-292-6007",
            "fax_number": "216-292-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MINYA",
        "middle_name": "LINET",
        "name_prefix": "Ms.",
        "credential": "MSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0600510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.