Active NPI
Scott M Smith, L.S.W.
- Social Worker
- Wilkes Barre, PA
National Provider Identifier
1699074286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW001684E
- Practice address
- 71 W Northampton St
Wilkes Barre, PA 18701-1112 - Phone
- (570) 823-5137
- Fax
- (570) 824-4210
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW001684E | PA | Primary |
Addresses
Primary practice location
71 W Northampton St
Wilkes Barre, PA 18701-1112
Mailing address
71 W Northampton St
Wilkes Barre, PA 18701-1112
Phone (570) 823-5137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW001684E | Other | PA | BCNEPA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW001684E | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Greater Wilkes-Barre | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Wilkes Barre, PA
- NPI 1285933879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1699074286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 W NORTHAMPTON ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187011112",
"telephone_number": "570-823-5137",
"fax_number": "570-824-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 W NORTHAMPTON ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187011112",
"telephone_number": "570-823-5137",
"fax_number": "570-824-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SCOTT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "L.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW001684E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCNEPA",
"identifier": "SW001684E",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.