Active NPI
Ayana Smith, LCSW
- Clinical Social Worker
- Lauderdale Lakes, FL
National Provider Identifier
1710568381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18200
- Practice address
- 4720 N State Road 7
Lauderdale Lakes, FL 33319-5860 - Phone
- (954) 606-0911
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- 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 | SW18200 | FL | Primary |
Addresses
Primary practice location
4720 N State Road 7
Lauderdale Lakes, FL 33319-5860
Mailing address
3505 Inlet Cir
Greenacres, FL 33463-2315
Other names 1
- Miss Ayana C Smith
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asmith@hendersonbh.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- ayanasmith@tdh.allscriptsdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1710568381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 INLET CIR",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334632315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 N STATE ROAD 7",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195860",
"telephone_number": "954-606-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AYANA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asmith@hendersonbh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4720 N State Road 7",
"city": "Lauderdale Lakes",
"state": "FL",
"country_code": "US",
"postal_code": "333195860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AYANA",
"last_name": "SMITH",
"middle_name": "C",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.