Paula Smith, LCSW
Individual provider Active NPI Clinical Social Worker · East Dublin, GA
NPI 1962823807 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1962823807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW006692 (GA)
- Practice address
- 1695 Buckeye Rd
East Dublin, GA 31027 - Phone
- (203) 238-6877
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140210000036 | CT | Practitioner - Clinical Social Worker | 4981833209 | Reassigns benefits to 1 organization |
| I20240520000876 | GA | Practitioner - Clinical Social Worker | 4981833209 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006692 | GA | MD | Clinical Social Worker |
| 8357 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PJB Therapy | Clinical | Current |
Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008357 | CT | |
| Clinical Social Worker | 1041C0700X | CSW006692 | GA | Yes |
Addresses
Primary practice location
1695 Buckeye Rd
East Dublin, GA 31027
Mailing address
1695 Buckeye Rd
East Dublin, GA 31027
Phone (203) 238-6877
Other providers in East Dublin, GA
- Kimberly Gail McCant
- Michael'S Pharmacy
- Pine Leaf Personal Care Home
- PJB Therapy
- Rachael Rogers
- Southern Customz LLC
- Demi Sharice Tarver
- UC Docs, PC
- Walgreen Co
- Michelle Whitehead
All providers in East Dublin, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.