Individual provider Active NPI

Ronny Smith Jr.

  • Clinical Social Worker
  • Monroe, LA
National Provider Identifier
1831774017
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18041 Issued in LA
Practice address
4951 Central Ave
Monroe, LA 71203-6156
Phone
(318) 340-1535
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18041 LA Primary

Addresses

Primary practice location

4951 Central Ave
Monroe, LA 71203-6156

Mailing address

4951 Central Ave
Monroe, LA 71203-6156
Phone (318) 340-1535

Other practice location 1

3100 Kilpatrick Blvd Ste 100
Monroe, LA 71201-5156
Phone (318) 325-8050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family New Life Rehabilitation Center, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

3100 Kilpatrick Blvd
Ste 100
Monroe, LA 71201
Phone (318) 325-8048

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1831774017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 CENTRAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036156",
            "telephone_number": "318-340-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTRAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036156",
            "telephone_number": "318-340-1535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Kilpatrick Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015156",
            "country_code": "US",
            "telephone_number": "318-325-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONNY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "18041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.