Active NPI
Rinda Jo Smith, LSW, LCSWA
- Clinical Social Worker
- Tabor City, NC
National Provider Identifier
1669950432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021814
- Practice address
- 27 N End TRL
Tabor City, NC 28463-5300 - Phone
- (256) 497-4790
- NPI assigned
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P021814 | NC | Primary |
Addresses
Primary practice location
27 N End TRL
Tabor City, NC 28463-5300
Mailing address
27 N End TRL
Tabor City, NC 28463-5300
Phone (256) 497-4790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P021814 | Other | NC | NORTH CAROLINA SOCIAL WORKS CERTIFICATION AND LICENSURE BOARD |
| 33009091A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P021814 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1669950432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 N END TRL",
"city": "TABOR CITY",
"state": "NC",
"postal_code": "284635300",
"telephone_number": "256-497-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 N END TRL",
"city": "TABOR CITY",
"state": "NC",
"postal_code": "284635300",
"telephone_number": "256-497-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RINDA",
"middle_name": "JO",
"credential": "LSW, LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA SOCIAL WORKS CERTIFICATION AND LICENSURE BOARD",
"identifier": "P021814",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "33009091A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tabor City, NC
- Raintree Healthcare of Tabor City, LLC
- Diane Carol Rambeau, LCSW
- Rha Health Services NC LLC
- Paul A Rhodes, CRNP-C
- Serenity Hill Homes Inc
- Stephens Outreach Center, Inc
- Brittany Renee Sykes, PHARMD
- Tabor City Emergency Services Inc.
- Tabor City Family Medical Clinic, PC
- Tabor City Family Medicine Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.