Tracy Ann Smith-Thibert, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7811 Issued in FL

Practice address

2900 Veterans Way
Viera, FL 32940-8007

Phone

(321) 637-3533

Fax

(321) 637-3643

NPI assigned

Feb 27, 2006

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1932175395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 VETERANS WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408007",
            "telephone_number": "321-637-3533",
            "fax_number": "321-637-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408007",
            "telephone_number": "321-637-3533",
            "fax_number": "321-637-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-THIBERT",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Shear, RN
• Lindsay Shears
• Janet Marie Sikora Amendola, D.C.
• Kristine H Silliman
• Gwendolyn Samons Simpkins, ARNP-C
• Emily R Smith
• Geri Danielle Smith
• Jodi E Smith
• Rachel Effolia Smith, FNP-BC
• Yale R Smith, MD

• Clinical Social Worker in Viera, FL
• Providers in Viera, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.