Stephine Willimas Smith, LCSW, CADCII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006340 Issued in GA

Practice address

455 N Lumpkin St
Athens, GA 30601-2744

Phone

(706) 369-7911

Fax

(706) 208-9509

NPI assigned

Apr 11, 2018

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

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.

• Athens Pastoral Counseling Dba Samaritan Counseling Center

  • Professional Counselor
  • Athens, GA
  • NPI 1285732784
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1659878197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROBINS NEST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066442",
            "telephone_number": "229-395-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012744",
            "telephone_number": "706-369-7911",
            "fax_number": "706-208-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHINE",
        "middle_name": "WILLIMAS",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahogania Smith, LMSW
• Melissa Dockery Smith, RN
• Millicent Smith, LCSW, CAADC, CPS
• Nathan Smith, MD
• Pamela Gober Smith, NURSE PRACTITIONER
• Susan Elizabeth Smith, PHARMD
• T Andy Smith, DPT MTC
• Taylor Smith
• Teresa Michelle Smith, CNA
• Angela Snapp, MS, CCC-SLP

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.