Individual provider Active NPI

Doreen Smethurst, LCSW ACSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1891776118
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0217501 Issued in NY
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

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 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

IdentifierTypeStateIssuer
PR0217501OtherNYEXCELLUS
7519396OtherNYAETNA

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021750NYMDClinical Psychologist
PR0217501NYMDClinical 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

Verify at the official NPI Registry.