Audrey F Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.112544 Issued in IL

Practice address

10811 W 143Rd St Ste 200
Orland Park, IL 60467-1943

Phone

(708) 981-3347

NPI assigned

May 7, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1740038595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 CAMPBELL AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112506",
            "telephone_number": "708-794-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 W 143RD ST STE 200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671943",
            "telephone_number": "708-981-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604112506",
            "country_code": "US",
            "telephone_number": "708-794-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUDREY",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.112544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Smiejek, DDS
• Smiles of Orland Park PC.
• Torneisha Smiley
• Smith and Associates Counseling and Wellness
• Alyson L Smith, MS, PA-C
• Barbara Smith, PTA
• Bonnie Jo Smith, DT
• Courtney Lynn Smith, M.A., LPC
• Gabrielle Anne Smith, PA-C
• Jack Smith, L.C.P.C.

• Social Worker in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.