Vanessa P Smith, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089251 Issued in NY

Practice address

11848 222ND St
Cambria Heights, NY 11411-2017

Phone

(347) 217-6581

Fax

(347) 217-6581

NPI assigned

Dec 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1639684996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11848 222ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114112017",
            "telephone_number": "347-217-6581",
            "fax_number": "347-217-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11848 222ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114112017",
            "telephone_number": "347-217-6581",
            "fax_number": "347-217-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VANESSA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton J Sewell, MD
• Tiffany Sicard
• Roxana Sinclair, LPN
• Steven Skinner, PT
• Denise Smith
• Irene Soirassot
• Diana Sooknandan, ANP
• Kareen Sookoo, MSW
• Soona D Inc
• Southside Occupational Therapist Services PC

• Clinical Social Worker in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.