Alan P. Smith LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12016 Issued in FL

Legal business name

ALAN P. SMITH LCSW, PLLC

Doing business as

Alan P. Smith LCSW, PLLC, LLC

Practice address

2588 Addington Cir
Rockledge, FL 32955-6509

Phone

(321) 757-4030

Fax

(321) 369-9836

NPI assigned

Oct 28, 2014

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan P. Smith, LCSWNPI 1093821043

Title

Owner

Phone

(321) 757-4030

Specialties & licenses 1

Addresses

Other names 1

• Alan P. Smith LCSW, PLLC, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan P Smith, LCSW

  • Clinical Social Worker
  • Rockledge, FL
  • NPI 1093821043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1740685171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 N. WICKHAM RD",
            "address_2": "SUITE 12 PMB 501",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407530",
            "telephone_number": "321-757-4030",
            "fax_number": "321-369-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 ADDINGTON CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556509",
            "telephone_number": "321-757-4030",
            "fax_number": "321-369-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN P. SMITH LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-757-4030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan P. Smith LCSW, PLLC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hani M Agrama, M.D.
• Francisco Javier Aguilo-Seara, M.D.
• Akmal Ahmed, D.D.S.
• Mariana Al Nasser
• Alan P. Smith Counseling Services
• Jeffrey Allen, DMD
• Sara Danielle Moore Allen, APRN
• Allies in Wellness, LLC
• Alpha Physical Therapy Clinic Inc
• Alpha Physical Therapy Clinic Inc

• Clinical Social Worker in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.