Individual provider Active NPI

Linda J. Smith, LCSW

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1861682403
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039047 Issued in NY
Practice address
4 Cliftwood Dr
Huntington, NY 11743-2103
Phone
(631) 385-3197
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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 R039047 NY Primary

Addresses

Primary practice location

4 Cliftwood Dr
Huntington, NY 11743-2103

Mailing address

4 Cliftwood Dr
Huntington, NY 11743-2103
Phone (631) 385-3197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001836 NY Practitioner - Clinical Social Worker 4284623471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Cliftwood Dr
Huntington, NY 11743-2103
Phone (631) 385-3197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R039047NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linda J Smith LCSW PLLC Clinical CurrentSince May 1, 2015 Accepting new patients
LJS of Huntington Inc Clinical PastSince Mar 8, 2017 Accepting new patients

Locations

1301 Deer Park Ave
North Babylon, NY 11703
Phone (631) 385-3197

Organizations & group practices 2

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1861682403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CLIFTWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432103",
            "telephone_number": "631-385-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CLIFTWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432103",
            "telephone_number": "631-385-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINDA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.