Chanel Smith, LCSW-A, LCAS-A,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010827 Issued in NC

Practice address

1781 S Main St Unit B
Laurinburg, NC 28352-5407

Phone

(910) 852-9519

Fax

(843) 400-5045

NPI assigned

Aug 1, 2016

Last updated

Oct 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• R&C Consulting Group, Inc.

  • Clinical Social Worker
  • Laurinburg, NC
  • NPI 1013484419
  NPD Authorized official
• Southeastern Behavioral Healthcare Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1932304714

  Clinical

  NPD (past)

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1811440431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 S MAIN ST UNIT B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525407",
            "telephone_number": "910-852-9519",
            "fax_number": "843-400-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 S MAIN ST UNIT B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525407",
            "telephone_number": "910-852-9519",
            "fax_number": "843-400-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHANEL",
        "credential": "LCSW-A, LCAS-A,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Harrison Slaughter III, DDS
• Sleepmed, Inc.
• John Andre Smid, MD
• Rebecca Joanne Smid, FNP
• Amber Marie Smith, BSW
• James Smith, CCAS
• James Dowd Smith, RPH
• Kelsey Marie Smith, ATC
• Ryan C Smith, CRNA
• James David Smithwick, M.D.

• Clinical Social Worker in Laurinburg, NC
• Providers in Laurinburg, 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 Oct 27, 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.

Verify at the official NPI Registry.