Selena Nicole Smith, LAPSW, LADACII, PH.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

155 Issued in NU

Practice address

5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014

Phone

(901) 672-7857

Fax

(615) 658-7857

NPI assigned

Jan 31, 2007

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Legacy, Inc.

  • Counselor
  • Memphis, TN
  • NPI 1447492699
  NPD Authorized official
• Hopefield Healthcare Services PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Jackson, TN
  • NPI 1932645991
  NPD
• Hopefield Mental Health Foundation, Inc

  • Psychiatry Physician
  • Jackson, TN
  • NPI 1831845593
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1962549733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-672-7857",
            "fax_number": "615-658-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-672-7857",
            "fax_number": "615-658-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SELENA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "LAPSW, LADACII, PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1360",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "CMSW0006120",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wood Smith, DDS
• Roger Gordon Smith, M.D.
• Samuel Henry Smith, M.D.
• Sarah Greer Smith, M.D.
• Saydrainne Smith, RBT
• Shaneika Smith, PHD, LPC-MHSP
• Sheila D. Smith, M.S.E.., CCC-SLP
• Shicorea Tiana Smith
• Shomari Smith, MSW
• Sophie Nicole Smith, PHARMD

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.