Individual provider Active NPI

Sarah A Smith, L.C.S.W.-R

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1902847460
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR052686 Issued in NY
Practice address
1412 Sweet Home Rd
Suite 1
Amherst, NY 14228-2795
Phone
(716) 430-2524
Fax
(716) 689-0593
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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 PR052686 NY Primary

Addresses

Primary practice location

1412 Sweet Home Rd
Suite 1
Amherst, NY 14228-2795

Mailing address

212 Norwood Ave
Buffalo, NY 14222-1916
Phone (716) 885-6886

Other names 1

  • Sarah A Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060721000034 NY Practitioner - Clinical Social Worker 8325051113 Practice locations: Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1412 Sweet Home Rd
Suite 10
Amherst, NY 14228-2795
Phone (716) 430-2524

88 Breezewood CMN
East Amherst, NY 14051-1425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR052686NYMDClinical Social Worker
052686NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Psychiatric Associates, LLP PastSince Apr 1, 1996 Accepting new patients
Erin Brink, LMHC PastSince Apr 6, 2021 Accepting new patients
Clarifien Center LLC Past Accepting new patients
Mid Erie Mental Health Services Inc PastSince Apr 1, 1996 Accepting new patients

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1902847460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221916",
            "telephone_number": "716-885-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SWEET HOME RD",
            "address_2": "SUITE 1",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282795",
            "telephone_number": "716-430-2524",
            "fax_number": "716-689-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR052686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SMITH",
            "middle_name": "A",
            "credential": "LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.