Donita L Smith, MSW; LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

003230 Issued in MO

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1197

Phone

(904) 396-8750

Fax

(904) 396-8759

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donita L Ehrhardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1992784789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081197",
            "telephone_number": "904-396-8750",
            "fax_number": "904-396-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081197",
            "telephone_number": "904-396-8750",
            "fax_number": "904-396-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONITA",
        "middle_name": "L",
        "credential": "MSW; LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "003230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497277004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONITA",
            "last_name": "EHRHARDT",
            "middle_name": "L",
            "credential": "MSW; LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debi Lisa Smith, MD
• Dennis Smith, LMHC
• Derrick L Smith
• Destini Smith
• Dina Elizabeth Smith
• Donna Lynn Smith, MA
• Donna T Smith, PHARMD
• Drew Hayes Smith, MD, MS
• Elizabeth Chandler Smith, PA-C
• Erin C Smith, APRN/CNM

• Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.