Kallie Jo Smith, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259186 Issued in KY

Practice address

448 Lewis Hargett Cir Ste 260
Lexington, KY 40503-3506

Phone

(859) 338-0466

NPI assigned

May 30, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lexington Counseling and Psychiatry, PLLC

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1881789634

  Clinical

  NPD (past)

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1780424358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 LEWIS HARGETT CIR STE 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033506",
            "telephone_number": "859-338-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LEWIS HARGETT CIR STE 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033506",
            "telephone_number": "859-338-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KALLIE",
        "middle_name": "JO",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelie Smith, RN
• Joseph Anthony Smith, RPH
• Joseph W Smith, MD
• Kaci Smith, MA
• Kaitlin Elizabeth Smith, MD
• Karla Ann Smith
• Keegan Whitney Smith, PT, DPT
• Kelley Smith
• Kevin Smith, DVM
• Kristin Smith

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.