Active NPI
Elise Smithmyer, LICSW
- Clinical Social Worker
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50079866
- Practice address
- 12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699 - Phone
- (240) 780-8884
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50079866 | DC | Primary |
Addresses
Primary practice location
12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699
Mailing address
12501 Prosperity Dr Ste 310
Silver Spring, MD 20904-1699
Phone (402) 780-8884
Other practice location 1
6325 Woodside Ct Ste 350
Columbia, MD 21046-1042
Phone (410) 910-9660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12501 Prosperity Dr
Suite 310
Silver Spring, MD 20904-1699
Phone (410) 343-9756
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50079866 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychcare Psychological Services, LLC | Current | Accepting new patients |
Locations
6325 Woodside Ct
Ste 350
Columbia, MD 21046
Phone 41034397569
104 Church Ln
Ste 101102
Pikesville, MD 21208
Phone (410) 343-9756
104 Church Ln
Ste 101
Pikesville, MD 21208
Phone (410) 343-9756
12501 Prosperity Dr
Ste 310
Silver Spring, MD 20904
Phone (240) 780-8884
Organizations & group practices 1
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": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606348800000",
"number": "1962835405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR STE 310",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041699",
"telephone_number": "402-780-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 PROSPERITY DR STE 310",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041699",
"telephone_number": "240-780-8884"
}
],
"practiceLocations": [
{
"address_1": "6325 Woodside Ct Ste 350",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210461042",
"country_code": "US",
"telephone_number": "410-910-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITHMYER",
"first_name": "ELISE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2020-11-26",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.