Individual provider Active NPI

Krista Samantha Smith-Hanke, MSS, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1851179048
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW140626 Issued in PA
Practice address
3535 Market St Ste 3032
Philadelphia, PA 19104-3313
Phone
(215) 573-2517
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140626 PA Primary

Addresses

Primary practice location

3535 Market St Ste 3032
Philadelphia, PA 19104-3313

Mailing address

4226 Chester Ave Apt 2
Philadelphia, PA 19104-4476
Phone (301) 832-8365

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

State licenses

LicenseStateTypeSpecialty
SW140626PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1851179048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 CHESTER AVE APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044476",
            "telephone_number": "301-832-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST STE 3032",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043313",
            "telephone_number": "215-573-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-HANKE",
        "first_name": "KRISTA",
        "middle_name": "SAMANTHA",
        "credential": "MSS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

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