Individual provider Active NPI

Nina Kathleen Rodriguez Smith, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1992560676
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120050 Issued in NY
Practice address
130 Hope St Apt 605
Brooklyn, NY 11211-6081
Phone
(203) 515-2087
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120050 NY Primary

Addresses

Primary practice location

130 Hope St Apt 605
Brooklyn, NY 11211-6081

Mailing address

1109 Loch Lomond CT
Arlington, TX 76012-2767
Phone (817) 319-2392

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

State licenses

LicenseStateTypeSpecialty
120050NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Psychotherapy LCSW PLLC CurrentSince Feb 25, 2024 Accepting new patients

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1992560676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LOCH LOMOND CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122767",
            "telephone_number": "817-319-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOPE ST APT 605",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116081",
            "telephone_number": "203-515-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SMITH",
        "first_name": "NINA",
        "middle_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "120050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.