Marvenar Smith, BACHELOR SOCIAL WORK

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

1200 N Thornton St Ste F
Clovis, NM 88101-5508

Phone

(575) 749-4529

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1679304455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N THORNTON ST STE F",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015508",
            "telephone_number": "575-749-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N THORNTON ST STE F",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015508",
            "telephone_number": "575-749-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Georgia St NE Ste A4",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871101391",
            "country_code": "US",
            "telephone_number": "505-891-1583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARVENAR",
        "credential": "BACHELOR SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Smith, RN
• Debra Ann Smith, BS
• Jade Smith
• Marcus Smith, LPCC
• Maria D Smith, ADMIN ASSIS
• Stephanie Rose Smith, OTR/L
• Taris Renee Smith, COTA/L
• Katelyn Marie Smyth, RN
• Betty Rae Snipes
• Nathan Snow

• School Social Worker in Clovis, NM
• Providers in Clovis, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.