Individual provider Active NPI

Dawnielle L Smith, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1780427393
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026539 Issued in IL
Practice address
2788 Defoors Ferry Rd NW Apt 411
Atlanta, GA 30318-2144
Phone
(708) 846-6163
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 149026539 IL Primary

Addresses

Primary practice location

2788 Defoors Ferry Rd NW Apt 411
Atlanta, GA 30318-2144

Mailing address

2788 Defoors Ferry Rd NW Apt 411
Atlanta, GA 30318-2144
Phone (708) 846-6163

Other practice location 1

657 Melrose Ln Apt 1
Beecher, IL 60401-3658
Phone (708) 846-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149026539ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Health Medical Group PA Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1780427393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 DEFOORS FERRY RD NW APT 411",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182144",
            "telephone_number": "708-846-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 DEFOORS FERRY RD NW APT 411",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182144",
            "telephone_number": "708-846-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "657 Melrose Ln Apt 1",
            "address_purpose": "LOCATION",
            "city": "Beecher",
            "state": "IL",
            "postal_code": "604013658",
            "country_code": "US",
            "telephone_number": "708-846-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAWNIELLE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.