Radha Nichole Smith, RADHA SMITH MSW/LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05745600 Issued in NJ

Practice address

106 Straube Center Blvd, F-R-2
Pennington, NJ 08534

Phone

(215) 290-0444

NPI assigned

Feb 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1861630535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD. SUITE F-R-2",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "215-290-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CENTER BLVD, F-R-2",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "215-290-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Kathy Dr",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190671716",
            "country_code": "US",
            "telephone_number": "215-290-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RADHA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "RADHA SMITH MSW/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127083",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05745600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE-NJ",
            "identifier": "44SC5745600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armish Singh
• Skit (Special Kind of Improvisational Theater)
• Laurie Smaldone Alsup
• Smash Agency LLC
• Nathanael Elijah Smith, RN, MSN, FNP-C
• Brendan James Smyth, PHD/ MD
• Lauren Snedeker, LSW
• Megan Snodgrass, PT, DPT
• Damon Snyder, CRNA
• Stefany Marie Soltesz, PA-C

• Clinical Social Worker in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.