Diane T Smith, DSW, LISW-S, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I-1303643 Issued in OH

Practice address

2020 W Schaaf Rd
Cleveland, OH 44109-4608

Phone

(216) 202-5118

NPI assigned

Oct 10, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1659708428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W SCHAAF RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094608",
            "telephone_number": "216-202-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W SCHAAF RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094608",
            "telephone_number": "216-202-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DSW, LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I-1303643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayja Smith
• Demetra Smith
• Derrick Smith
• Devon Patrick Smith, MD
• Diamon Ra'Sean Smith
• Djuana Smith, LSW
• Donald Smith
• Donalvyn Smith
• Elizabeth Smith, MS, RD, LD
• Emily Nicole Smith

• Mental Health Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.