JOHN WINSTON SMITH JR. (NPI# 1063963940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963940 |
| Entity Type | Individual |
| Full Name | JOHN WINSTON SMITH JR. |
| Credential | LCSWA |
| Practice Address |
118 New Stateside Dr Chapel Hill NC 27516-1165 |
| Mailing Address |
104 New Stateside Dr Chapel Hill NC 27516-1165 |
| Practice Telephone | 9199421840 |
| Mailing Telephone | 9199422126 |
| Mailing Fax Number | 9199422126 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P010695 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386035 | John Colin Smith | Physical Therapy Assistant | 416 N Main St Ste I, Cave City, AR 72521-9008 | 2020-11-03 |
| 1104392034 | John Seth Smith | Behavioral Analyst | 1002 S Vienna St, Ruston, LA 71270-5832 | 2018-10-18 |
| 1316454283 | John Smith | Driver | 339 E Glenwood Ave, Akron, OH 44310-3850 | 2018-01-02 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1952837536 | John Kenny Smith | Counselor | 140d Larkspur Ln, Galax, VA 24333-2305 | 2017-05-03 |
| 1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
| 1982152930 | John Smith | Physical Therapist | 412 W Central Ave, Fitzgerald, GA 31750-2442 | 2016-09-20 |
| 1588028518 | John Smith | Counselor | 8888 Finley Rd, Wooster, OH 44691-7563 | 2016-04-06 |
| 1235520602 | John Joseph Smith | Counselor | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-02-06 |
| 1235545526 | John Charles Smith | Pharmacist | 2666 Riva Rd Ste 110, Annapolis, MD 21401-7351 | 2014-07-08 |
| Street Address |
118 NEW STATESIDE DR |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27516-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285677302 | Linda L. Hunter | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2006-06-14 |
| 1306481254 | Sara Colclough | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2019-11-14 |
| 1568922409 | Frances Jean Richardson | Registered Nurse | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2019-03-25 |
| 1003399775 | Haley Rognstad | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2018-09-10 |
| 1386153948 | Erich Freywald Priest | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2017-09-27 |
| 1285143719 | Nicole Michelle Beckerman | Social Worker | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2017-09-27 |
| 1174044754 | Anyelle Johanna De Leon | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2017-07-04 |
| 1295285054 | Traci Rogers Fuquay | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2016-10-05 |
| 1194199091 | Katelyn Octavia Pollet Chapman | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2015-11-16 |
| 1710395728 | Christine Dieterle | Counselor | 118 New Stateside Dr, Chapel Hill, NC 27516-1165 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
| 1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
| 1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
| 1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
| 1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in zip 27516 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130783 | Katherine L Hernandez | Social Worker | 1829 E Franklin St Ste 800d, Chapel Hill, NC 27514-5868 | 2020-10-07 |
| 1801409685 | Mari Caldwellrobinson Hall | Social Worker | 900 Mlk Blvd Ste B, Chapel Hill, NC 27514-2601 | 2020-08-31 |
| 1801407762 | Jennifer N Chapman | Social Worker | 102 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2246 | 2020-08-13 |
| 1245878370 | Ennis C Baker | Social Worker | 103 Lexington Dr, Chapel Hill, NC 27516-3251 | 2019-12-19 |
| 1700434016 | Blair Pietrowski | Social Worker | 101 Manning Dr Bsmt, Chapel Hill, NC 27514-4226 | 2019-08-29 |
| 1144882820 | Sean Moffitt | Social Worker | 150 Providence Rd Ste 100, Chapel Hill, NC 27514-2208 | 2019-07-02 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1902467350 | Glynis Wikstrom Fullwood | Social Worker | 104 S Estes Dr Ste 301g, Chapel Hill, NC 27514-2848 | 2019-06-26 |
| 1124688395 | Sarah Brittina Schmidt | Social Worker | 414 Pittsboro St, Chapel Hill, NC 27516-2912 | 2019-06-19 |
| 1740849868 | Kathryn G Kastan | Social Worker | 976 Mlk Blvd Ste 270, Chapel Hill, NC 27514-2654 | 2019-06-12 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27516 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.