Shannon G Smith, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S0022251 Issued in OH

Practice address

570 E Waterloo Rd
Akron, OH 44319-1223

Phone

(330) 724-6995

Fax

(330) 294-5435

NPI assigned

Apr 6, 2009

Last updated

Apr 6, 2009By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Goodwill Industries of Akron, Ohio, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Akron, OH
  • NPI 1447851456
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1669614608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191223",
            "telephone_number": "330-724-6995",
            "fax_number": "330-294-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191223",
            "telephone_number": "330-724-6995",
            "fax_number": "330-294-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0022251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Marie Smith
• Roslyn Denise Smith
• Roy Smith
• Scott Smith, MA, LICDC-CS
• Shakeenna Smith
• Shaquila M Smith, LSW
• Sharnisa Smith
• Shawn Marie Smith
• Shlomo Smith
• Stacy Lynn Smith, RN BSN

• Social Worker in Akron, OH
• Providers in Akron, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.