Individual provider Active NPI

Carolyn Patrice Smith, LCSW

  • Clinical Social Worker
  • Downingtown, PA
National Provider Identifier
1881649010
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015120 Issued in PA
Practice address
216 Hidden Creek Drive
Downingtown, PA 19335
Phone
(610) 873-0646
Fax
(215) 481-6741
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 CW015120 PA Primary

Addresses

Primary practice location

216 Hidden Creek Drive
Downingtown, PA 19335

Mailing address

216 Hidden Creek Dr
Downingtown, PA 19335-4226
Phone (610) 873-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070814000053 PA Practitioner - Clinical Social Worker 2668563164 Practice locations: Malvern, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Mystic Lane
Malvern, PA 19355-1942

18 Mystic LN
Malvern, PA 19355-1942
Phone (610) 644-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Home Care Services LLC Current Accepting new patients
Ali Wilburn LCSW LLC Clinical Past Accepting new patients

Locations

18 Mystic Ln
Malvern, PA 19355
Phone (610) 696-1543

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881649010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HIDDEN CREEK DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354226",
            "telephone_number": "610-873-0646",
            "fax_number": "215-481-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HIDDEN CREEK DRIVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "19335",
            "telephone_number": "610-873-0646",
            "fax_number": "215-481-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.