Active NPI
Adrienne McCollum-Smit, LICSW-S
- Clinical Social Worker
- Montevallo, AL
National Provider Identifier
1679088066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4026C-S
- Practice address
- 711 Wadsworth St Unit 200
Montevallo, AL 35115-3531 - Phone
- (205) 728-3949
- NPI assigned
- Dec 6, 2017
- Last updated
- Jun 20, 2023
- 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 | 4026C-S | AL | Primary |
Addresses
Primary practice location
711 Wadsworth St Unit 200
Montevallo, AL 35115-3531
Mailing address
200 Chase Park S Ste 102
Hoover, AL 35244-1884
Phone (205) 728-3949
Other practice location 1
201 The Heights Dr
Calera, AL 35040-7612
Phone (205) 826-1770
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4026C-S | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Laurita Miller LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- adriennemccollum@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Mountain BRK, AL
- NPI 1255717948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1679088066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CHASE PARK S STE 102",
"city": "HOOVER",
"state": "AL",
"postal_code": "352441884",
"telephone_number": "205-728-3949",
"fax_number": "251-207-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 WADSWORTH ST UNIT 200",
"city": "MONTEVALLO",
"state": "AL",
"postal_code": "351153531",
"telephone_number": "205-728-3949"
}
],
"practiceLocations": [
{
"address_1": "201 The Heights Dr",
"address_purpose": "LOCATION",
"city": "Calera",
"state": "AL",
"postal_code": "350407612",
"country_code": "US",
"telephone_number": "205-826-1770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOLLUM-SMIT",
"first_name": "ADRIENNE",
"name_prefix": "Mrs.",
"credential": "LICSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-06",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4026C-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montevallo, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.