Individual provider Active NPI

Luke Smith, LICSW

  • Clinical Social Worker
  • Stowe, VT
National Provider Identifier
1922463652
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0111500 Issued in VT
Practice address
515 Moscow Rd
Stowe, VT 05672-5113
Phone
(802) 696-8900
NPI assigned
Dec 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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 089.0111500 VT Primary

Addresses

Primary practice location

515 Moscow Rd
Stowe, VT 05672-5113

Mailing address

PO Box 1232
Stowe, VT 05672-1232
Phone (802) 696-8900

Other practice location 1

782 Mountain Rd Ste E
Stowe, VT 05672-4629
Phone (802) 696-8900

Other practice location 2

111 Main St
Hyde Park, VT 05655
Phone (802) 696-8900

Other practice location 3

111 Main St
Hyde Park, VT 05655
Phone (802) 696-8900

Other identifiers 1

IdentifierTypeStateIssuer
1026190MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20160908002512 VT Practitioner - Clinical Social Worker 9739484007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

515 Moscow Rd
Stowe, VT 05672-5113
Phone (802) 696-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Today LLC Clinical CurrentSince Sep 28, 2018 Accepting new patients

Locations

782 Mountain Rd
Ste E
Stowe, VT 05672
Phone (802) 696-8900

515 Moscow Rd
Stowe, VT 05672
Phone (802) 253-2225

Interoperability endpoints

  • Direct secure messaging: luke.smith@chslv.eclinicaldirectplus.com

Organizations & group practices 1

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": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1922463652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056721232",
            "telephone_number": "802-696-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOSCOW RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056725113",
            "telephone_number": "802-696-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "782 Mountain Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Stowe",
            "state": "VT",
            "postal_code": "056724629",
            "country_code": "US",
            "telephone_number": "802-696-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Main St",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "VT",
            "postal_code": "05655",
            "country_code": "US",
            "telephone_number": "802-696-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Main St",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "VT",
            "postal_code": "05655",
            "country_code": "US",
            "telephone_number": "802-696-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LUKE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0111500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026190",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

Verify at the official NPI Registry.