Kristy K Smith, M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C001338 Issued in NC

Practice address

110 Preston Executive Dr
Suite 106
Cary, NC 27513-8447

Phone

(919) 386-0402

Fax

(919) 882-0931

NPI assigned

Aug 16, 2006

Last updated

Jul 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of North Carolina at Chapel Hill School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Max Psychiatry PCGroup PAC ID 9931365343, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Max Psychiatry PC

  • Prescribing (Medical) Psychologist
  • Morrisville, NC
  • NPI 1619231776
  Medicare reassignment Care Compare group
• Ladue Family Chiropractic PLLC

  • Chiropractor
  • Cary, NC
  • NPI 1811168230
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1639282676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 ALTA VISTA CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103261",
            "telephone_number": "919-386-0402",
            "fax_number": "919-882-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PRESTON EXECUTIVE DR",
            "address_2": "SUITE 106",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138447",
            "telephone_number": "919-386-0402",
            "fax_number": "919-882-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTY",
        "middle_name": "K",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C001338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003637",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kroohs Smith, MA, CCC-SLP
• Julia Marie Smith, LCSW
• Karen K Smith, DPT
• Kelly Lorriane Smith, FNP-BC
• Kristen Smith, LCMHC
• Lauren Nicole Smith, PA
• Lindsay Erin Smith, PTA
• Lorraine J Smith, MS: SLP
• Mandy Marie Smith
• Melynda Whitmer Smith, N.P.

• Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.