Individual provider Active NPI

Charles Beiven Smiley, CSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1780371823
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255427 Issued in KY
Practice address
1028 Barret Ave
Louisville, KY 40204-1667
Phone
(502) 451-1221
Fax
(502) 451-1337
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255427 KY Primary

Addresses

Primary practice location

1028 Barret Ave
Louisville, KY 40204-1667

Mailing address

10515 Evanwood Dr
Louisville, KY 40228-1965
Phone (502) 451-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240828003421 KY Practitioner - Clinical Social Worker 4880133388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
The Morton Center IncGroup PAC ID 6305272279, 7 clinicians

Practice addresses (Care Compare)

1028 Barret Ave
Louisville, KY 40204-1667
Phone (502) 451-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255427KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Morton Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Katie E. Harmeier PastSince Apr 23, 2023 Accepting new patients

Locations

1028 Barret Ave
Louisville, KY 40204
Phone (502) 451-1221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1780371823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 EVANWOOD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281965",
            "telephone_number": "502-451-1221",
            "fax_number": "502-451-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041667",
            "telephone_number": "502-451-1221",
            "fax_number": "502-451-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "CHARLES",
        "middle_name": "BEIVEN",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.