Alyssa Jean Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9205 Issued in TN

Practice address

2000 Glen Echo Rd Ste 204
Nashville, TN 37215-2898

Phone

(973) 626-0308

NPI assigned

Mar 20, 2019

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

Other names 1

• Alyssa Jean Marmo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1982164687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HORACE MANN DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372181225",
            "telephone_number": "973-626-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLEN ECHO RD STE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152898",
            "telephone_number": "973-626-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Horace Mann Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372181225",
            "country_code": "US",
            "telephone_number": "973-626-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MARMO",
            "middle_name": "JEAN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Smith, APRN
• Alexandria Marie Smith, AGACNP-BC
• Allison Smith
• Allison J Smith, M.D.
• Alphonso Smith, PHD
• Amanda Smith
• Amanda Beatrix Smith, MD
• Amanda Marie Smith
• Amanda McIntosh Smith
• Amanda Rae Smith

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.