Mary Sue Smith, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW011649 Issued in GA

Practice address

1503 N Tibbs Rd
Dalton, GA 30720-2915

Phone

(706) 270-5008

Fax

(706) 270-5129

NPI assigned

May 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1649028952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 HALLS CHAPEL RD",
            "city": "CRANDALL",
            "state": "GA",
            "postal_code": "307115315",
            "telephone_number": "706-304-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 N TIBBS RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202915",
            "telephone_number": "706-270-5008",
            "fax_number": "706-270-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Smith, LPC
• Jennifer M Smith, FNP
• Julie Ann Smith
• Karah Freeman Smith, PA-C
• Mackenzie Ann Smith, OTR
• Mathew Dean Smith, M.D.
• Michael Shane Smith, D.D.S.
• Nicole Rene Smith, LPC
• Quentin Smith, MD
• Tammy Smith

• Social Worker in Dalton, GA
• Providers in Dalton, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.