Individual provider Active NPI

Darryl Green Smith, MSW, GSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1639325509
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5358 Issued in LA
Practice address
2221 Philip St
New Orleans, LA 70113-2525
Phone
(504) 568-6650
Fax
(504) 568-4667
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5358 LA Primary

Addresses

Primary practice location

2221 Philip St
New Orleans, LA 70113-2525

Mailing address

2221 Philip St
New Orleans, LA 70113-2525
Phone (504) 568-6650

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
5358LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1639325509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PHILIP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132525",
            "telephone_number": "504-568-6650",
            "fax_number": "504-568-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PHILIP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132525",
            "telephone_number": "504-568-6650",
            "fax_number": "504-568-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARRYL",
        "middle_name": "GREEN",
        "name_prefix": "Mrs.",
        "credential": "MSW, GSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.