Individual provider Active NPI

Cory Carl Smith, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1962824227
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4629 Issued in MT
Practice address
3021 3Rd Ave N
Billings, MT 59101-1940
Phone
(406) 294-5090
Fax
(406) 294-5091
NPI assigned
Jan 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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 4629 MT Primary

Addresses

Primary practice location

3021 3Rd Ave N
Billings, MT 59101-1940

Mailing address

3021 3Rd Ave N
Billings, MT 59101-1940
Phone (406) 294-5090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141003002228 MT Practitioner - Clinical Social Worker 5193945673 Reassigns benefits to 2 organizations
I20241031003549 WA Practitioner - Clinical Social Worker 5193945673

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1836 S Ave W
Missoula, MT 59801-6510
Phone (406) 290-8554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4629MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Health Center Inc CurrentSince Aug 27, 2014 Accepting new patients
Partnership Health Center Inc CurrentSince Aug 27, 2014 Accepting new patients
Partnership Health Center Inc Current Accepting new patients

Locations

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1962824227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 3RD AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011940",
            "telephone_number": "406-294-5090",
            "fax_number": "406-294-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 3RD AVE N",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011940",
            "telephone_number": "406-294-5090",
            "fax_number": "406-294-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CORY",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.