Theresa Flynn Smith, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C001735 Issued in NC

Practice address

517 Tomahawk Ave
Black Mountain, NC 28711-2861

Phone

(828) 552-1390

Fax

(828) 298-4870

NPI assigned

Jun 9, 2006

Last updated

Apr 12, 2019By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Charlotte Counseling and Consulting, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1548796766

  Clinical

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1659312973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 TOMAHAWK AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112861",
            "telephone_number": "828-552-1390",
            "fax_number": "828-544-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 TOMAHAWK AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112861",
            "telephone_number": "828-552-1390",
            "fax_number": "828-298-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 J N Pease Pl",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624557",
            "country_code": "US",
            "telephone_number": "704-771-4633",
            "fax_number": "980-225-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THERESA",
        "middle_name": "FLYNN",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSAND BLUE SHIELD",
            "identifier": "1148F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002201",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Shirk, MS, LAT, ATC
• Alanna Shivone, LMBT
• Clifford Neil Shulman, P.T.
• Anita H Slate, HIS
• Emily Anne Smith, LMBT
• Daniel Snyder, PHD
• Soundview Family Care Homes, Inc
• Soundview Family Care Homes, Inc
• Soundview Family Care Homes, Inc
• Soundview Family Care Homes, Inc.

• Clinical Social Worker in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.