Aiyana Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

211 Church St
Southampton, NY 11968-1196

Phone

(631) 343-5632

NPI assigned

Oct 21, 2017

Last updated

Nov 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, DE, CT, RI4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blossom Counseling Services LCSW PLLC

  • Clinical Social Worker
  • Southampton, NY
  • NPI 1942095682
  Medicare reassignment NPD Authorized official
• Community Counseling & LCSW Services PC

  dba Community Counseling & LCSW Services

  • Clinical Social Worker
  • Center Moriches, NY
  • NPI 1770819690
  Medicare reassignment NPD
• New York Medical Behavioral Health Services, P.C.

  dba New York Medical Behavioral Health Services

  • Psychiatry Physician
  • New York, NY
  • NPI 1235600834
  Medicare reassignment NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Social Worker

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CT, DE, NY, RI

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  CT, DE

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  RI

  Medicare reassignment NPD
• Wagner Medical PC

  dba SonderMind

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187

  NY

  Medicare reassignment NPD
• Qureshi Medical Services PLLC

  dba Qureshi Medical Services

  • Psychiatry Physician
  • Center Moriches, NY
  • NPI 1316763162
  NPD (past)
• Shine Medical PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1427783950
  NPD (past)

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

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1669983219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HILL ST STE 114",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685317",
            "telephone_number": "631-209-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119681196",
            "telephone_number": "631-343-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AIYANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-21",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094249-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Sin, M.D.
• Valerie Sinclair, RN
• Nga Yan Siu, DO
• Howard M Sklarek, MD
• Small World Smiles Dentistry
• Pamela Devon Smoller, PA
• Lisa Snelling, NP
• Christine Snyder
• Steven B Sobey, M.D.
• Stephen A Solnoki, DMD

• Clinical Social Worker in Southampton, NY
• Providers in Southampton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.