Nicole E Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4080 Issued in KY

Practice address

202 Plummer St
Campton, KY 41301-9381

Phone

(606) 668-7385

Fax

(606) 668-7009

NPI assigned

Mar 18, 2010

Last updated

Feb 27, 2024By 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 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Juniper Health IncGroup PAC ID 2961453618, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Juniper Health Inc

  dba Lee County Family Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Beattyville, KY
  • NPI 1407818628
  Medicare reassignment Care Compare group NPD
• Juniper Health Inc

  dba Juniper Morgan County

  • Federally Qualified Health Center (FQHC)
  • West Liberty, KY
  • NPI 1447791512
  NPD
• QPS LLC

  dba Elliott Pharmacy

  • Community/Retail Pharmacy
  • Sandy Hook, KY
  • NPI 1538901186
  NPD
• Juniper Health Inc

  dba Lee County Family Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Beattyville, KY
  • NPI 1669588505
  NPD (past)

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1649594797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413110690",
            "telephone_number": "606-464-0151",
            "fax_number": "606-464-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PLUMMER ST",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413019381",
            "telephone_number": "606-668-7385",
            "fax_number": "606-668-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 US Highway 460 E",
            "address_purpose": "LOCATION",
            "city": "Frenchburg",
            "state": "KY",
            "postal_code": "403228384",
            "country_code": "US",
            "telephone_number": "606-768-3725",
            "fax_number": "606-464-0152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Beattyville",
            "state": "KY",
            "postal_code": "413119022",
            "country_code": "US",
            "telephone_number": "606-464-2401",
            "fax_number": "606-464-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 N Ky 7",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "KY",
            "postal_code": "411719137",
            "country_code": "US",
            "telephone_number": "606-738-9785",
            "fax_number": "859-317-2148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100348990",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSURE",
            "identifier": "4080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santos Medical Services, Inc
• Edwin Santos, M.D.
• Nadeem Shaikh, M.D.
• Austin Tanner Sizemore, PA-C
• Kristina Slusher, RBT
• Sunshine M Smoot, MD
• Amy Christina Terry, NP
• The Recovery Center, LLC (County Line Primary Care)
• Georgana Cee Tudor, ARNP
• United Clinics of Kentucky LLC (United Clinics of Kentucky Beattyville)

• Clinical Social Worker in Campton, KY
• Providers in Campton, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.