Active NPI
Casey Elizabeth Smith, LCSW
- Clinical Social Worker
- Walnut, CA
National Provider Identifier
1801135587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25771
- Practice address
- 385 S Lemon Ave # E426
Walnut, CA 91789-2727 - Phone
- (909) 263-7174
- Fax
- (909) 468-1514
- NPI assigned
- Jan 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25771 | CA | Primary |
Addresses
Primary practice location
385 S Lemon Ave # E426
Walnut, CA 91789-2727
Mailing address
385 S. Lemon Ave # E426
Walnut, CA 91789
Phone (909) 263-7174
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25771 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1801135587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 S. LEMON AVE # E426",
"city": "WALNUT",
"state": "CA",
"postal_code": "91789",
"telephone_number": "909-263-7174",
"fax_number": "909-468-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 S LEMON AVE # E426",
"city": "WALNUT",
"state": "CA",
"postal_code": "917892727",
"telephone_number": "909-263-7174",
"fax_number": "909-468-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CASEY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "25771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.