Active NPI
Nathan Lorenzo Smith, LCSW
- Clinical Social Worker
- North Haven, CT
National Provider Identifier
1700407764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10998
- Practice address
- 100 State St Apt 148
North Haven, CT 06473-2227 - Phone
- (203) 361-1832
- NPI assigned
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10998 | CT | Primary |
Addresses
Primary practice location
100 State St Apt 148
North Haven, CT 06473-2227
Mailing address
100 State St Apt 148
North Haven, CT 06473-2227
Phone (203) 361-1832
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10998 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1700407764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STATE ST APT 148",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732227",
"telephone_number": "203-361-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 STATE ST APT 148",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732227",
"telephone_number": "203-361-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NATHAN",
"middle_name": "LORENZO",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.