Individual provider Active NPI

Isaac Anthony Smith, MSW, LCSWA

  • Clinical Social Worker
  • Hickory, NC
National Provider Identifier
1922649888
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013718 Issued in NC
Practice address
929 15TH St NE Ste 100
Hickory, NC 28601-4162
Phone
(828) 256-3436
Fax
(828) 256-3623
NPI assigned
Oct 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P013718 NC
Clinical Social Worker 1041C0700X P013718 NC Primary

Addresses

Primary practice location

929 15TH St NE Ste 100
Hickory, NC 28601-4162

Mailing address

4330 Viola Sipe Dr
Conover, NC 28613-8839
Phone (828) 256-3436

Other practice location 1

305 E Meeting Street
Suite 102
Morganton, NC 28655
Phone (828) 381-5026

Other practice location 2

4330 Viola Sipe Dr
Conover, NC 28613-8839
Phone (828) 256-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P013718NCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1922649888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 VIOLA SIPE DR",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138839",
            "telephone_number": "828-256-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 15TH ST NE STE 100",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014162",
            "telephone_number": "828-256-3436",
            "fax_number": "828-256-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Meeting Street",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "28655",
            "country_code": "US",
            "telephone_number": "828-381-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 Viola Sipe Dr",
            "address_purpose": "LOCATION",
            "city": "Conover",
            "state": "NC",
            "postal_code": "286138839",
            "country_code": "US",
            "telephone_number": "828-256-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ISAAC",
        "middle_name": "ANTHONY",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P013718",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.