Gretchen A. Smith, MSW, LISW-CP
Individual provider Active NPI Clinical Social Worker · Lexington, SC
NPI 1811069842 · NPPES record last updated Jul 28, 2021
Key facts
- NPI
- 1811069842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6235 (SC)
- Practice address
- 418A Barr Rd
Lexington, SC 29072-2363 - Phone
- (803) 807-2301
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
418 A Barr Rd
Lexington, SC 29072-2363
Phone (803) 807-2301
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819001221 | SC | Practitioner - Clinical Social Worker | 1153395876 | Practice locations: Lexington, SC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Samaritan Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6235 | SC | Yes |
Addresses
Primary practice location
418A Barr Rd
Lexington, SC 29072-2363
Mailing address
113 Heatherfield Dr
West Columbia, SC 29170-2341
Phone (803) 807-2301
Other providers in Lexington, SC
- Amaris Smith
- Carrie Smith
- Cynthia Christopher Smith
- Emily Smith
- Eric Wane Smith
- Jaydra Smith
- Jessica Smith
- Johnny Y Smith
- Jon D Smith
- Julia H Smith
All providers in Lexington, SC · Clinical Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.