Charles Steven Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000006662 Issued in TN

Practice address

117 Huxley Rd Ste B3
Knoxville, TN 37922-3179

Phone

(865) 518-2987

NPI assigned

Sep 17, 2018

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1700360708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 TENNYSON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091077",
            "telephone_number": "865-803-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HUXLEY RD STE B3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223179",
            "telephone_number": "865-518-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "middle_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000006662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett L. Smith
• Bridgett N Smith, APN
• Brittany Ann Smith
• Camille S Smith, LCSW
• Carla C. Smith, CMSW
• Chelsea Colyer Smith
• Christie Smith
• Christina M Smith, NP
• Cierrah Smith
• Coleman Clark Smith

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.