Khalilah Smith, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1450776 Issued in OH

Practice address

1 Spartan Way
Lima, OH 45801-4561

Phone

(419) 996-3436

Fax

(419) 225-8878

NPI assigned

Oct 22, 2014

Last updated

Feb 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633

  Clinical

  Medicare reassignment NPD
• Health Partners of Western Ohio

  dba Old West End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1760952741
  Medicare reassignment NPD
• Health Partners of Western Ohio

  dba Dr. Gene Wright Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lima, OH
  • NPI 1811932288
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1720482540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPARTAN WAY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014561",
            "telephone_number": "419-996-3436",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KHALILAH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1450776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward C. Smith, CDCA
• Heather M Smith, OTR/L
• Jennifer Ann Smith, PHYSICAL THERAPIST
• Jordan Lynn Smith
• Julia Lynne Smith, CDCA
• Marchee Smith
• McKenzie A Smith
• Megan Smith
• Peyton Diahnn Smith, LMT (LICENSED MASSAG
• Priscilla Denise Smith

• Clinical Social Worker in Lima, OH
• Providers in Lima, 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 Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.