Individual provider Active NPI

Darray Becker-Smoger, LICSW

  • Clinical Social Worker
  • Creston, WA
National Provider Identifier
1891167359
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
38156 Skyview CT N
Creston, WA 99147-8517
Phone
(858) 395-2316
NPI assigned
Oct 23, 2015
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

38156 Skyview CT N
Creston, WA 99147-8517

Mailing address

38156 Skyview CT N
Creston, WA 99147-8517
Phone (858) 395-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210223002566 WA Practitioner - Clinical Social Worker 5698180784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Health District CurrentSince Dec 21, 2020 Accepting new patients
County of Grant Mental Health CurrentSince Dec 21, 2020 Accepting new patients

Locations

840 E Plum St
Moses Lake, WA 98837
Phone (509) 764-2011

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1891167359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38156 SKYVIEW CT N",
            "city": "CRESTON",
            "state": "WA",
            "postal_code": "991478517",
            "telephone_number": "858-395-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38156 SKYVIEW CT N",
            "city": "CRESTON",
            "state": "WA",
            "postal_code": "991478517",
            "telephone_number": "858-395-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-SMOGER",
        "first_name": "DARRAY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, WA

Sources for this page

Verify at the official NPI Registry.