Christopher Banks Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000655 Issued in NC

Practice address

1004 Broad St
Durham, NC 27705-4144

Phone

(919) 643-2631

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811056443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054144",
            "telephone_number": "919-643-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054144",
            "telephone_number": "919-643-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "BANKS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002192",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan D Smith
• Carol Council Smith, LPA
• Celina Aleese Smith
• Chelsea Smith
• Christie Smith, LCSW
• Danyelle Alexis Smith, MSW, LCSWA
• Deborah Dawn Smith, N.P
• Deborah Mangum Smith, COTA/L
• Deidra Javeda Smith, LMFTA
• Diallo Alexander Smith, LMFTA

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.