Ambrial Smith, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06480000 Issued in NJ

Practice address

2 Adams Dr Apt C
Maple Shade, NJ 08052-1493

Phone

(856) 889-5596

NPI assigned

Jul 20, 2021

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

Electronic endpoints 1

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1760055545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ADAMS DR APT C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521493",
            "telephone_number": "856-889-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ADAMS DR APT C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521493",
            "telephone_number": "856-889-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 W Ormond Ave",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080023054",
            "country_code": "US",
            "telephone_number": "609-534-0219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBRIAL",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06480000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "2 Adams Dr Apt C",
            "city": "Maple Shade",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080521493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danyel Sileo
• Eric Simpkins
• Jay Singh, MD
• Smith Apothecary Corp
• Smith Apothecary Corp
• Lavon Lashanda Smith, BSN, RN
• Patricia Spuler, DPT
• Star Alliance Support Services
• Stephen E Paul DO PA
• Steven Reiner, DPM

• Clinical Social Worker in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.