Kimberly Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124788 Issued in NY

Practice address

1079 Clarkson Ave Apt 2R
Brooklyn, NY 11212-2151

Phone

(718) 419-6497

NPI assigned

May 11, 2026

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1962330076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 CLARKSON AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112122151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 CLARKSON AVE APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112122151",
            "telephone_number": "718-419-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaydian Smith, LPN
• Kayla Smith, LCSW
• Keisha Alicia Smith
• Kelly E. Smith, M.S, L.AC.
• Kenyetta Smith
• Kimberly Grace Smith, M.S., CCC-SLP, TSSLD
• Kourtney L Smith, LPN
• Kristen Smith
• Kurtis Smith
• La-Tisha Smith

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.