Active NPI
Doreen Smethurst, LCSW ACSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1891776118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR0217501
- Practice address
- 1351 Mount Hope Ave
#217
Rochester, NY 14534 - Phone
- (585) 442-1090
- Fax
- (585) 586-3622
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR0217501 | NY | Primary |
Addresses
Primary practice location
1351 Mount Hope Ave
#217
Rochester, NY 14534
Mailing address
1351 Mount Hope Ave
#217
Rochester, NY 14620
Phone (585) 442-1090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR0217501 | Other | NY | EXCELLUS |
| 7519396 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021750 | NY | MD | Clinical Psychologist |
| PR0217501 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891776118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 MOUNT HOPE AVE",
"address_2": "#217",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-442-1090",
"fax_number": "585-586-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 MOUNT HOPE AVE",
"address_2": "#217",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14534",
"telephone_number": "585-442-1090",
"fax_number": "585-586-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMETHURST",
"first_name": "DOREEN",
"name_prefix": "Mrs.",
"credential": "LCSW ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR0217501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "PR0217501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7519396",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.