Daijah Marie Smith, CD, CPSW, MHFA, CHW
Individual provider Active NPI Peer Specialist · Albuquerque, NM
NPI 1750144937 · NPPES record last updated Mar 12, 2024
Key facts
- NPI
- 1750144937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293 - Phone
- (505) 369-1731
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women in Leadership New Mexico Inc | Current |
Accepting new patients | |
| Women in Leadership New Mexico Inc | Peer Specialist | Current |
Accepting new patients |
Locations
300 Central Ave SW
Ste 1500E
Albuquerque, NM 87102
Phone (505) 369-1731
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NM | Yes |
Addresses
Primary practice location
300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293
Mailing address
9500 Osuna Rd NE Apt 1014
Albuquerque, NM 87111-2291
Phone (505) 572-5652
Other practice location 1
9500 Osuna Rd NE Apt 1014
Albuquerque, NM 87111-2291
Phone (806) 332-5218
NPI Registry JSON
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1750144937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 OSUNA RD NE APT 1014",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112291",
"telephone_number": "505-572-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTRAL AVE SW STE 1500E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023293",
"telephone_number": "505-369-1731"
}
],
"practiceLocations": [
{
"address_1": "9500 Osuna Rd NE Apt 1014",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871112291",
"country_code": "US",
"telephone_number": "806-332-5218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DAIJAH",
"middle_name": "MARIE",
"credential": "CD, CPSW, MHFA, CHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Christian Tyler Smith
- Christopher Smith
- Christopher Robert Smith
- Cynthia A Smith
- Cynthia Paulsen Smith
- David Robert Smith III
- Deanna Joan Smith
- Denise A Smith
- Destany Nevaeh Smith
- Diandra Dawn Smith
All providers in Albuquerque, NM · Peer Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.