Emily Smith, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06124 Issued in IA

Practice address

431 28TH St
Des Moines, IA 50312-4405

Phone

(515) 393-4267

Fax

(515) 393-4267

NPI assigned

Jun 18, 2012

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

Opted out of Medicare

Yes, effective Jun 7, 2023 through Jun 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• The Prairie Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Moines, IA
  • NPI 1760375117
  NPD Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1740543594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 28TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124405",
            "telephone_number": "515-393-4267",
            "fax_number": "515-393-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 28TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124405",
            "telephone_number": "515-393-4267",
            "fax_number": "515-393-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Rose Smith, RD, LD
• Deborah Smith, LMFT
• Debra Smith, PA-C
• Edgar Lee Smith, D.D.S.
• Edward Charles Smith, RDCS
• Evan Hasani-Obadiah Smith, MD
• Gregory L Smith, MD
• Isabella Smith
• Jarrod Alexander Smith, DPM
• Jonathan Smith, ARNP

• Clinical Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.