Aiyana Smith, LCSW
Individual provider Active NPI Clinical Social Worker · Southampton, NY
NPI 1669983219 · NPPES record last updated Nov 29, 2024
Key facts
- NPI
- 1669983219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 211 Church St
Southampton, NY 11968-1196 - Phone
- (631) 343-5632
- NPI assigned
- Oct 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
PO Box
Dallas, TX 75373
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NY, DE, CT, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200406000900 | NY | Practitioner - Clinical Social Worker | 7810326246 | Reassigns benefits to 6 organizations |
| I20241206003619 | DE | Practitioner - Clinical Social Worker | 7810326246 | Reassigns benefits to 2 organizations |
| I20241209000364 | CT | Practitioner - Clinical Social Worker | 7810326246 | Reassigns benefits to 2 organizations |
| I20260108002378 | RI | Practitioner - Clinical Social Worker | 7810326246 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087375 | NY | MD | Social Worker |
| 094249-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling & LCSW Services PC | Clinical | Current |
Accepting new patients |
| Valera Medical, P.C. | Social Worker | Current |
Accepting new patients |
| Wagner Medical PC | Clinical | Current |
Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Blossom Counseling Services LCSW PLLC | Clinical | Current |
Accepting new patients |
| New York Medical Behavioral Health Services, P.C. | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
| Sondermind, P.a. | Clinical | Current |
Accepting new patients |
| Qureshi Medical Services PLLC | Past |
Accepting new patients | |
| Shine Medical PC | Past | Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
134 N 4th St
Brooklyn, NY 11249
234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609
139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751
205 Hudson St
Fl 9
New York, NY 10013
Phone (631) 488-0609
26 Hill St
Southampton, NY 11968
10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes | ||
| Social Worker | 104100000X | 094249-1 | NY |
Addresses
Primary practice location
211 Church St
Southampton, NY 11968-1196
Mailing address
26 Hill St Ste 114
Southampton, NY 11968-5317
Phone (631) 209-7815
Other providers in Southampton, NY
- Eric Sin
- Valerie Sinclair
- Nga Yan Siu
- Howard M Sklarek
- Small World Smiles Dentistry
- Pamela Devon Smoller
- Lisa Snelling
- Christine Snyder
- Steven B Sobey
- Stephen A Solnoki
All providers in Southampton, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.