Cordia Yvette Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003968 Issued in GA

Practice address

300 Village Green Cir SE
Suite 201
Smyrna, GA 30080-3476

Phone

(678) 469-3947

Fax

(770) 438-6172

NPI assigned

Aug 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

State licenses

Practice roles

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.

• Spinal Bracing, Inc

  • Durable Medical Equipment & Medical Supplies
  • Smyrna, GA
  • NPI 1073841326
  NPD (past)

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1972735314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIR SE",
            "address_2": "SUITE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803476",
            "telephone_number": "678-469-3947",
            "fax_number": "770-438-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLAGE GREEN CIR SE",
            "address_2": "SUITE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803476",
            "telephone_number": "678-469-3947",
            "fax_number": "770-438-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CORDIA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLP Therapy Associates, LLC
• Stefanie Smit, HHP
• Akilah Flowers Smith, MCHES
• Belinda Lythea Smith, MS., CCC-SLP
• Calvin Kittrell Smith, LPC
• Ellen Gryszka Smith, LAPC, NCC
• James K Smith, MD
• Jasmine Smith
• Lashaia M Smith
• Lee Anderson Smith Jr., MDIV, LCSW

• Clinical Social Worker in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.