NPIMap

Organization Active NPI

Smith Mental Health Associates

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1710439690
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SMITH MENTAL HEALTH ASSOCIATES
Practice address
601 S State Road 7
Plantation, FL 33317-4054
Phone
(954) 321-2296
Fax
(954) 321-5399
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Joanne Correia-Kent, LCSW
Title
Agency Co-Administrator
Phone
(954) 321-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

601 S State Road 7
Plantation, FL 33317-4054

Mailing address

601 S State Road 7
Plantation, FL 33317-4054
Phone (954) 321-2296

Other identifiers 1

IdentifierTypeStateIssuer
070164500MedicaidFL

Other names 1

  • Smith Community Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smith Community Mental Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1710439690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174054",
            "telephone_number": "954-321-2296",
            "fax_number": "954-321-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174054",
            "telephone_number": "954-321-2296",
            "fax_number": "954-321-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH MENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "CORREIA-KENT",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "AGENCY CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "954-321-2296",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070164500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Community Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.