Adam Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29295 Issued in MN

Practice address

1201 Harmon PL Ste 103
Minneapolis, MN 55403-2045

Phone

(612) 313-3240

Fax

(612) 338-5884

NPI assigned

May 17, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1962076737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COMO AVE LOWR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081459",
            "telephone_number": "507-459-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HARMON PL STE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032045",
            "telephone_number": "612-313-3240",
            "fax_number": "612-338-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADAM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Jane Smith Montoya, OTR
• Jennifer Elizabeth Smith-Otte, RN, CNP
• Samantha Smith-Williams
• Deborah Lee Smith-Wright, MD
• Ada Elizabeth Smith, LGSW
• Alison Michelle Smith, DNP
• Allison Emily Smith, OT
• Alycia Renae Smith, CMT
• Amanda J Smith, PA-C
• Amaya N Smith

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.