Roger M. Smith, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5099 Issued in LA

Practice address

14317 Hickory Dr.
Ponchatoula, LA 70454-6653

Phone

(985) 974-8172

Fax

(985) 386-0826

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Roger Smith, LCSW LLC

  • Social Worker
  • Ponchatoula, LA
  • NPI 1447489224
  Medicare reassignment NPD Authorized official
• Healthcare Advantage LLC

  • Mental Health Counselor
  • Madison, MS
  • NPI 1861727034
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1922015403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 HICKORY DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546653",
            "telephone_number": "985-974-8172",
            "fax_number": "985-386-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14317 HICKORY DR.",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546653",
            "telephone_number": "985-974-8172",
            "fax_number": "985-386-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROGER",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "5099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Sistrunk, LPN
• John K Smart, M.D.
• Cassie Ly Smith
• Mary F Smith, LPC-S, LMFT
• Mason Smith, LMSW
• Shannah Smith
• Susan Barringer Smith, APRN, FNP-C, PNP-C
• Solutions for Life LLC
• Specialty RX Compounding & Wellness LLC
• Specific Care Chiropractic LLC

• Social Worker in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.