Suntia Smith LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9166 Issued in SC

Legal business name

SUNTIA SMITH LLC

Practice address

3445 Pelham Rd Ste B
Greenville, SC 29615-4194

Phone

(864) 559-8581

Fax

(864) 751-9331

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Suntia Smith

Title

Owner

Phone

(864) 444-3057

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1649654997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154194",
            "telephone_number": "864-559-8581",
            "fax_number": "864-751-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154194",
            "telephone_number": "864-559-8581",
            "fax_number": "864-751-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTIA SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUNTIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-444-3057"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1217",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.