Heather E Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4000C Issued in AL

Practice address

2131 Military St S
Hamilton, AL 35570-6651

Phone

(205) 921-5556

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• PW-Hospital Bridge Services, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Springfield, TN
  • NPI 1811508765
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1760031702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 DEWEL DR",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355703120",
            "telephone_number": "205-412-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355706651",
            "telephone_number": "205-921-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Dewel Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "AL",
            "postal_code": "355703120",
            "country_code": "US",
            "telephone_number": "205-412-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4000C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rose Santiago, MD
• SCPG Alabama LLC
• Bryan D Serena, D.C.
• Jonathon Shaw
• Melissa Gibson Shotts, O.D.
• Leslie Smothers, D.O.
• Martha Gail Southern, CRNP
• Aniyah Spearman
• Specialty Orthopedic Group of Mississippi PLLC
• State of Alabama

• Clinical Social Worker in Hamilton, AL
• Providers in Hamilton, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.