Organization Active NPI

Mariecia Yvette Smith

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1841329679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005563 Issued in NC
Legal business name
MARIECIA YVETTE SMITH
Practice address
3000 Falstaff Rd
Raleigh, NC 27610-1813
Phone
(919) 250-3133
Fax
(919) 250-1176
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Mariecia Smith, MSW, LCSW
Title
Human Services Senior Practitioner
Phone
(919) 250-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005563 NC Primary

Addresses

Primary practice location

3000 Falstaff Rd
Raleigh, NC 27610-1813

Mailing address

118 Hidden Oaks Dr Apt 1a
Cary, NC 27513-3391
Phone (919) 771-4481

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841329679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HIDDEN OAKS DR APT 1A",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133391",
            "telephone_number": "919-771-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101813",
            "telephone_number": "919-250-3133",
            "fax_number": "919-250-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIECIA YVETTE SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIECIA",
        "authorized_official_title_or_position": "HUMAN SERVICES SENIOR PRACTITIONER",
        "authorized_official_telephone_number": "919-250-3133",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.