Active NPI
Eleanor Valerie Smith, PH.D.
- Social Worker
- Cape Coral, FL
National Provider Identifier
1972875086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2839 Cape Coral Pkwy W
Cape Coral, FL 33914-6044 - Phone
- (239) 826-1457
- Fax
- (239) 540-7292
- NPI assigned
- Feb 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Basic Emergency Medical Technician | 146N00000X | EMT536553 | FL | |
| Specialist | 174400000X |
Addresses
Primary practice location
2839 Cape Coral Pkwy W
Cape Coral, FL 33914-6044
Mailing address
2839 Cape Coral Pkwy W
Cape Coral, FL 33914-6044
Phone (239) 826-1457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EMT536553 | FL | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328313600000",
"number": "1972875086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 CAPE CORAL PKWY W",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146044",
"telephone_number": "239-826-1457",
"fax_number": "239-540-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2839 CAPE CORAL PKWY W",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146044",
"telephone_number": "239-826-1457",
"fax_number": "239-540-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELEANOR",
"middle_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-04",
"last_updated": "2012-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "EMT536553",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.