Active NPI
Patricia R Smith, LISW-S
- Social Worker
- Hamilton, OH
National Provider Identifier
1790120996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I.1200487-SUPV
- Practice address
- 1165 Eaton Ave
Hamilton, OH 45013-1402 - Phone
- (513) 868-7700
- Fax
- (513) 896-3600
- NPI assigned
- May 2, 2013
- Last updated
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I.1200487-SUPV | OH | Primary |
| Clinical Social Worker | 1041C0700X | I-1200487 | OH |
Addresses
Primary practice location
1165 Eaton Ave
Hamilton, OH 45013-1402
Mailing address
5642 Hamilton Ave
Cincinnati, OH 45224-3114
Phone (513) 636-0800
Other practice location 1
1659 S Breiel Blvd
Middletown, OH 45044-6705
Phone (513) 424-0921 ext. 37
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1200487-SUPV | OH | MD | Social Worker |
| I-1200487 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling LLC | Clinical | Past | Accepting new patients |
| Community Behavioral Health Inc. | Past | Accepting new patients |
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.
-
dba Foundations Counseling
- Mental Health Counselor
- Fort Thomas, KY
- NPI 1710691795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1790120996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5642 HAMILTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452243114",
"telephone_number": "513-636-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 EATON AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450131402",
"telephone_number": "513-868-7700",
"fax_number": "513-896-3600"
}
],
"practiceLocations": [
{
"address_1": "1659 S Breiel Blvd",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450446705",
"country_code": "US",
"telephone_number": "513-424-0921 x37",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICIA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1200487-SUPV",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-1200487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.