Robert Randall Smith, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008678 Issued in NC

Practice address

309 W Millbrook Rd Ste 161
Raleigh, NC 27609-4261

Phone

(919) 559-8690

Fax

(919) 882-1277

NPI assigned

Aug 4, 2014

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NC Recovery Support Services

  • Professional Counselor
  • Raleigh, NC
  • NPI 1437592771
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1659780732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD STE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094261",
            "telephone_number": "919-559-8690",
            "fax_number": "919-882-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD STE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094261",
            "telephone_number": "919-559-8690",
            "fax_number": "919-882-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Colby Smith, LMFT
• Portia Torrelle Smith, LMFT
• Quarshunda Smith
• Ralph J Smith
• Rebecca Smith
• Sarah Elizabeth Smith, MSW, LCSW
• Sean William Smith, D.C.
• Shana Korinne Smith, CRNA
• Shannon Elizabeth Smith, M.ED, CCC-SLP
• Sharlisa Smith, LPN

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Aug 4, 2014; 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.