Organization Active NPI

Aracoma Smith, LCSW, PLLC

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1649316282
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARACOMA SMITH, LCSW, PLLC
Practice address
3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361
Phone
(540) 361-1844
Fax
(540) 361-1874
NPI assigned
Jan 30, 2007
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Mrs. Aracoma S Smith, LCSWNPI 1356392476
Title
Owner
Phone
(540) 361-1844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361

Mailing address

3715 Latimers Knoll CT Ste 103
Fredericksburg, VA 22408-7361
Phone (540) 361-1844

Other practice location 1

713 Westwood Office Park
Fredericksburg, VA 22401-5115
Phone (540) 361-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000717 VA Part B Supplier - Clinic/Group Practice 9638276744 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

3715 Latimers Knoll Ct
Ste 103
Fredericksburg, VA 22408
Phone (540) 357-7101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1649316282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 LATIMERS KNOLL CT STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087361",
            "telephone_number": "540-361-1844",
            "fax_number": "540-361-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 LATIMERS KNOLL CT STE 103",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087361",
            "telephone_number": "540-361-1844",
            "fax_number": "540-361-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Westwood Office Park",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224015115",
            "country_code": "US",
            "telephone_number": "540-361-1844",
            "fax_number": "540-361-1874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARACOMA SMITH, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ARACOMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-361-1844",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.