Caroline Rae Russell Smith, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070617-1 Issued in NY

Practice address

58 Henry St
Saratoga Springs, NY 12866-3232

Phone

(518) 857-9361

Fax

(518) 581-3182

NPI assigned

Jan 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 22, 2023 through Dec 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/

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.

• Saratoga Stress Reduction Program

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1043435597

  Clinical

  NPD (past) Authorized official
• Bader Family Chiropractic, PLLC

  • Chiropractor
  • Saratoga Springs, NY
  • NPI 1326313107
  NPD (past)
• Warren Washington Association for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson Falls, NY
  • NPI 1073549796
  NPD (past)

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730230186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ASH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663903",
            "telephone_number": "518-584-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HENRY ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663232",
            "telephone_number": "518-857-9361",
            "fax_number": "518-581-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLINE",
        "middle_name": "RAE RUSSELL",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070617-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Skrandel, PHARMD
• Shelby A Sleasman, PMHNP, CNM, RN
• Michele Sloan, OT
• Greg Slywka, DC
• Lois Smart del Sette, RN
• Christine Smith, LMHC, NCC
• Dana Marie Smith, PT
• Geoffrey Smith, M.D.
• Jacqueline L Smith, DO
• Jennifer Lynne Smith, M.D.

• Clinical Social Worker in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Social Worker in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.