Individual provider Active NPI

Joan B. Smith, LCSW

  • Social Worker
  • Snow Hill, MD
National Provider Identifier
1790919686
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
08292 Issued in MD
Practice address
6040 Public Landing Road
Worcester County Health Department
Snow Hill, MD 21863
Phone
(410) 632-1100
Fax
(410) 632-0906
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 08292 MD Primary

Addresses

Primary practice location

6040 Public Landing Road
Worcester County Health Department
Snow Hill, MD 21863

Mailing address

1702 Somers Dr
Salisbury, MD 21804-8659
Phone (410) 546-1410

Other identifiers 1

IdentifierTypeStateIssuer
705371101MedicaidMD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08292MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1790919686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SOMERS DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048659",
            "telephone_number": "410-546-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING ROAD",
            "address_2": "WORCESTER COUNTY HEALTH DEPARTMENT",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "21863",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOAN",
        "middle_name": "B.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "08292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705371101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.