Mary Kendall Smith, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0500046 Issued in OH

Practice address

5564 Wilson Mills Rd Ste 201
Highland Heights, OH 44143-3265

Phone

(440) 473-9037

Fax

(440) 461-1047

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kendall Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• RGN Counseling LLC

  • Clinical Social Worker
  • Highland Heights, OH
  • NPI 1760999262
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710044136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS ROAD, SUITE 201",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-473-9037",
            "fax_number": "440-461-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 201",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-473-9037",
            "fax_number": "440-461-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "KENDALL",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0500046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "SMITH",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey Schreibman, RD, LD, MS, CSCS
• Mikaela Marie Schuster
• Ellen M Severson, MSSA, LISW
• Sharon Rose-Rego, PH.D., LLC
• Katja Slatinsek
• Kristina Snyder
• Jennifer Jeanne Soros, MOT, OTR/L
• Spectrum Psychological Associates, Inc
• Trudy Beth Stearns
• Edmond Hartley Thall, M.D.

• Clinical Social Worker in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.