Individual provider Active NPI

Erin Smith, LICSW

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1932461266
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW60423046 Issued in WA
Practice address
1430 N Garden St
Bellingham, WA 98225
Phone
(360) 671-7663
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60423046 WA
Mental Health Counselor 101YM0800X LW60423046 WA Primary

Addresses

Primary practice location

1430 N Garden St
Bellingham, WA 98225

Mailing address

PO Box 28487
Bellingham, WA 98228-0487
Phone (360) 671-7663

Other practice location 1

1133 Railroad Ave
Suite 100
Bellingham, WA 98225-5055
Phone (360) 676-2164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200404000297 WA Practitioner - Clinical Social Worker 0345677969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60423046WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lydia Place a Nonprofit Corporation Mental Health CurrentSince Oct 25, 2019 Accepting new patients

Locations

1430 N Garden St
Bellingham, WA 98225
Phone (360) 599-8698

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1932461266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28487",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982280487",
            "telephone_number": "360-671-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N GARDEN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-671-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Railroad Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982255055",
            "country_code": "US",
            "telephone_number": "360-676-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60423046",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60423046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.