Tyra Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098153 Issued in NY

Practice address

114 5TH Ave FL 2
New York, NY 10011-5611

Phone

(347) 578-1753

NPI assigned

Oct 31, 2018

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1841767498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 BAY PKWY APT 6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146411",
            "telephone_number": "347-578-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115611",
            "telephone_number": "347-578-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Danielle Smith, MS, OTR/L
• Toniann Smith, MS, OTR/L
• Tricia Smith, M.S., L.AC.
• Tyler Smith, DMD
• Tyler Ellis Smith, MD
• Venessa Stacy Ann Smith, FNP-BC
• Vernon Eugene Smith, PHD
• Verta Iola Smith, MD
• Vivian L Smith, NNP
• Vivian Victoria Smith

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.