Individual provider Active NPI

Charlotte Oates Smith, LCSW

  • Clinical Social Worker
  • Moreauville, LA
National Provider Identifier
1962774133
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4285 Issued in LA
Practice address
287 Main St
Moreauville, LA 71355-2500
Phone
(045) 753-7125
NPI assigned
Feb 3, 2012
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4285 LA Primary

Addresses

Primary practice location

287 Main St
Moreauville, LA 71355-2500

Mailing address

133 Rebel Run
Pineville, LA 71360-6322
Phone (318) 446-6482

Other practice location 1

244 Bond St
Jonesboro, LA 71251-5334
Phone (318) 259-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041004000006 LA Practitioner - Clinical Social Worker 3779552054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4285LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Health Center Current Accepting new patients
Mercy Medical Health Center CurrentSince Sep 1, 2025 Accepting new patients
Access Health Louisiana PastSince Sep 11, 2022 Accepting new patients
Access Health Louisiana Past Accepting new patients
Bellator Health Care Management, LLC Past Accepting new patients

Locations

600 Factory Outlet Dr
Ste 12
Arcadia, LA 71001
Phone (318) 263-4701

244 Bond St
Jonesboro, LA 71251
Phone (318) 259-1100

Interoperability endpoints

  • Direct secure messaging: charlotte.smith.1@11331.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17704/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1962774133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 REBEL RUN",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606322",
            "telephone_number": "318-446-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MAIN ST",
            "city": "MOREAUVILLE",
            "state": "LA",
            "postal_code": "713552500",
            "telephone_number": "045-753-7125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Bond St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "LA",
            "postal_code": "712515334",
            "country_code": "US",
            "telephone_number": "318-259-1100",
            "fax_number": "318-259-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLOTTE",
        "middle_name": "OATES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreauville, LA

Sources for this page

Verify at the official NPI Registry.