Stephen Dustin Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW006584 Issued in GA

Practice address

104 Pilgrim Village Dr Ste 300
Cumming, GA 30040-9232

Phone

(678) 933-2517

Fax

(770) 406-8872

NPI assigned

Dec 7, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Smith Therapy, LLC

  • Clinical Social Worker
  • Cumming, GA
  • NPI 1295376077
  NPD
• Lea Counseling, LLC

  • Clinical Social Worker
  • Cumming, GA
  • NPI 1093160517
  NPD (past)

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1922579549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 FIELDGATE RIDGE DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300285918",
            "telephone_number": "678-933-2517",
            "fax_number": "770-406-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PILGRIM VILLAGE DR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409232",
            "telephone_number": "678-933-2517",
            "fax_number": "770-406-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "DUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren H Smith
• Mallory Smith
• Megan Irene Smith, NP
• Morgan Smith
• Nancy L Smith
• Kelly Marie Snead, RD
• Jenna M Snyder, MS, OTR/L
• Mark M Snyder, DPM
• Ronald Soelimto, PMHNP
• Gregg Adam Soifer, M.D.

• Clinical Social Worker in Cumming, GA
• Providers in Cumming, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.