Kevin Smith, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077379 Issued in NY

Practice address

88 Breezewood CMN
East Amherst, NY 14051-1425

Phone

(716) 842-6713

Fax

(716) 842-0988

NPI assigned

Dec 13, 2006

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1770644411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BREEZEWOOD CMN",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511425",
            "telephone_number": "716-276-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BREEZEWOOD CMN",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511425",
            "telephone_number": "716-842-6713",
            "fax_number": "716-842-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Silvestrini
• Julia Silvestro, OTR/L
• Michelle Lynn Sinatra
• Simran Singh
• Sue A Siva, CCC-SLP
• Victoria A Smith, PA-C
• Grace Sokolowski, M.A., CCC-SLP
• Tamah Spaulding, LMSW
• St John NP in Family Health PLLC
• Marianne Elizabeth St John, FNP

• Clinical Social Worker in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.