Lesa A Smith, MSW, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112856303502 Issued in UT

Practice address

1050 E 3300 S
Millcreek, UT 84106-2184

Phone

(801) 645-5455

NPI assigned

Oct 24, 2017

Last updated

Sep 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brain Behavior Associates, P.C.

  • Clinical Neuropsychologist
  • Ogden, UT
  • NPI 1063627388
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1700397205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 26TH ST STE 100",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012459",
            "telephone_number": "801-645-5455",
            "fax_number": "801-394-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E 3300 S",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841062184",
            "telephone_number": "801-645-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LESA",
        "middle_name": "A",
        "credential": "MSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "112856303502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Salome Shultz, LCSW
• Kadence Smith, RBT
• Karl Scott Smith III
• Katherine Bradshaw Smith, NP
• Katherine Jayne Kettler Smith, M.A. CCC-SLP
• Solstice Trauma Healing LLC
• Soul Logic Counseling
• Soul Pathways Wellness, LLC
• Jorri Lee Sparks, MSN, APRN, FNP-BC
• Marshall Spiegel, DO

• Clinical Social Worker in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.