Lori Kay Smolin, MSCCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006221 Issued in NY

Practice address

1415 E. Third Avenue
Mary G. Clarkson Elementary School
Bay Shore, NY 11706-4221

Phone

(631) 968-1205

Fax

(631) 968-2461

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

No

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1679840441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E. THIRD AVENUE",
            "address_2": "MARY G. CLARKSON ELEMENTARY SCHOOL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064221",
            "telephone_number": "631-968-1205",
            "fax_number": "631-968-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E. THIRD AVENUE",
            "address_2": "MARY G. CLARKSON ELEMENTARY SCHOOL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064221",
            "telephone_number": "631-968-1205",
            "fax_number": "631-968-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLIN",
        "first_name": "LORI",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.