Individual provider Active NPI

Scott M Smith, L.S.W.

  • Social Worker
  • Wilkes Barre, PA
National Provider Identifier
1699074286
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW001684E Issued in PA
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

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SW001684EOtherPABCNEPA

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

LicenseStateTypeSpecialty
SW001684EPAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.