Active NPI
Annheleen Amy Smith, LMSW
- Social Worker
- Conklin, NY
National Provider Identifier
1720697014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 099039-01
- Practice address
- 1102 Conklin Road
Conklin, NY 13748 - Phone
- (607) 246-8158
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 099039-01 | NY | Primary |
Addresses
Primary practice location
1102 Conklin Road
Conklin, NY 13748
Mailing address
37 King Point Cir N
Owego, NY 13827-1145
Phone (607) 778-0228
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099039-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1720697014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 KING POINT CIR N",
"city": "OWEGO",
"state": "NY",
"postal_code": "138271145",
"telephone_number": "607-778-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 CONKLIN ROAD",
"city": "CONKLIN",
"state": "NY",
"postal_code": "13748",
"telephone_number": "607-246-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANNHELEEN",
"middle_name": "AMY",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "099039-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conklin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.