Nathaniel Brooks Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5026 Issued in KY

Practice address

1308 Kuuna St
Kailua, HI 96734-3662

Phone

(912) 334-1248

NPI assigned

Nov 4, 2013

Sex

Male

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bookmark Counseling and Consultation

  • Clinical Social Worker
  • Kailua, HI
  • NPI 1861119919
  NPD Authorized official
• Hope Springs Counseling Center

  • Professional Counselor
  • Lexington, KY
  • NPI 1639560014
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1831528504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967340457",
            "telephone_number": "912-334-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 KUUNA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343662",
            "telephone_number": "912-334-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHANIEL",
        "middle_name": "BROOKS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin R Smith, MD
• Jamie Smith, M.A. CCC-SLP
• Julie Grimes Smith, MS CCC-SLP
• Kevin Gary Smith, RN
• Kylee Ai Smith
• Renee Marie Smith, RBT
• Robert Smitson
• Yuki Snelgrove
• Summer Snover
• Sarah Slater Snyder, LCSW

• Clinical Social Worker in Kailua, HI
• Providers in Kailua, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.