Judy C. Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00937277 Issued in WV

Practice address

RR 5 Box 42
Nutmeg Place
Bluefield, WV 24701-9002

Phone

(304) 888-0077

NPI assigned

Mar 13, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1992946388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 42",
            "address_2": "NUTMEG PLACE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247019002",
            "telephone_number": "304-888-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 42",
            "address_2": "NUTMEG PLACE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247019002",
            "telephone_number": "304-888-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUDY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00937277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Sluss, N.P.
• Jeanie Smalls
• Britney Smith
• Edmond Dennis Smith Jr., FNP
• Jimil Smith
• Kayonna Smith, CAREGIVER
• Kelliann Smith
• Pamela Smith
• Rondale Smith
• Sherry Lynn Smith

• Clinical Social Worker in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.