Active NPI
Anastasia Katrina Smith, ACSW, CMSW, LCSW
- Clinical Social Worker
- Emporia, VA
National Provider Identifier
1871821603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007023
- Practice address
- 727 N Main St
Emporia, VA 23847-1274 - Phone
- (434) 348-4603
- Fax
- (434) 348-4938
- NPI assigned
- Dec 7, 2009
- Last updated
- Mar 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007023 | VA | Primary |
| Clinical Social Worker | 1041C0700X | C004393 | NC |
Addresses
Primary practice location
727 N Main St
Emporia, VA 23847-1274
Mailing address
411 South St E
Ahoskie, NC 27910-3539
Phone (252) 398-6077
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004393 | NC | MD | Clinical Social Worker |
| 0904007023 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Mental Health Center | Past | Accepting new patients | |
| Svrmc HBP LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Anesthesiology) Physician
- Emporia, VA
- NPI 1740507227
-
- Mental Health Counselor
- Elizabeth City, NC
- NPI 1013012400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1871821603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SOUTH ST E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103539",
"telephone_number": "252-398-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 N MAIN ST",
"city": "EMPORIA",
"state": "VA",
"postal_code": "238471274",
"telephone_number": "434-348-4603",
"fax_number": "434-348-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANASTASIA",
"middle_name": "KATRINA",
"name_prefix": "Ms.",
"credential": "ACSW, CMSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007023",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emporia, VA
- Keri Ann Silvis-Root, FNP-BC
- Iqbal Singh, M.D.
- Skinner Holistic Health Corporation
- Marvin Eugene Skinner, LPC
- Whitney Smallwood, LPC
- Latroyal Smith
- Rakesh K Sood, M.D.
- Southern Dominion Health System, Inc. (Emporia Greensville Medical Center)
- Southern Virginia Eyecare LLC
- Southern Virginia Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.