MR. BERNARD A SMITH (NPI# 1235455874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235455874 |
| Entity Type | Individual |
| Full Name | MR. BERNARD A SMITH |
| Credential | LCSW |
| Practice Address |
4 Commerce Ln Canton NY 13617-3739 |
| Practice Telephone | 3153868191 |
| Practice Fax Number | 3153861410 |
| Mailing Telephone | 3153868191 |
| Mailing Fax Number | 3153861410 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2013-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R057519 | NY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
R057519-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01995615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003079724 | Bernard Anthony Smith | Massage Therapist | 3501 Auburn Way S Trlr 71, Auburn, WA 98092-7291 | 2008-07-02 |
| 1982663043 | Bernard Howard Smith | Family Medicine | 3809 Darrow Rd, Stow, OH 44224-4035 | 2006-03-18 |
| 1346716800 | Bernard Gary Smith Jr. | Technician | 3759 Jay St Ne Apt 2, Washington, DC 20019-1835 | 2018-10-22 |
| 1285809020 | Bernard Mason Smith IIi | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2008-04-23 |
| 1184743353 | Bernard Smith | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2007-03-28 |
| 1720131097 | Bernard Smith | Clinic/Center | 1428 N Farwell Ave, Milwaukee, WI 53202-2904 | 2007-01-19 |
| 1902966369 | Bernard M. Smith | Emergency Medicine | 100 Hospital Dr, Louisburg, NC 27549-2256 | 2006-12-08 |
| 1033199385 | Bernard F Smith | Specialist | 1085 Main St, South Weymouth, MA 02190-1547 | 2006-01-20 |
| Street Address |
4 COMMERCE LN |
| City | CANTON |
| State | NY |
| Zip Code | 13617-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432765 | United Cerebral Palsy Association of The North Country, Inc. | Clinic/Center | 4 Commerce Ln, Canton, NY 13617-3739 | 2006-01-20 |
| 1255962551 | Isabelle Anne Young | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2020-01-27 |
| 1326503988 | Abby K Philbrick | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2019-02-07 |
| 1356858724 | Donna Gokey | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2018-01-06 |
| 1528596103 | Shannon Leclair | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-26 |
| 1255868998 | Jill Guiles | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2017-05-12 |
| 1861869703 | Jackline B Ngalame | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-08-26 |
| 1700260221 | Christine Couperus-mashewske | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-07-14 |
| 1336521236 | Miranda Groebler | Nurse Practitioner | 4 Commerce Ln, Canton, NY 13617-3739 | 2015-06-26 |
| 1316287378 | Keri E. Caracciolo | Dental Hygienist | 4 Commerce Ln, Canton, NY 13617-3739 | 2013-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| 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 |
|---|---|---|---|---|
| 1407455504 | Kathleen Cafferty | Social Worker | 48377 Castleside Ct, Canton, MI 48187-1251 | 2020-10-20 |
| 1710596440 | Andrea Thomas | Social Worker | 43555 Fleetwood Ct, Canton, MI 48187-4911 | 2020-07-28 |
| 1265056394 | Sakoon Psychotherapy Pllc | Social Worker | 6512 N Canton Center Rd, Canton, MI 48187-1652 | 2020-06-04 |
| 1538783907 | Donna Jo Trimm Calk | Social Worker | 24 Goodrich St, Canton, NY 13617-1123 | 2020-06-02 |
| 1225650245 | Lydia Bishop | Social Worker | 124 Academy Ln, Canton, GA 30114-9903 | 2020-05-13 |
| 1730729112 | Carly Marie Farrell | Social Worker | 110 Hidden Lake Cir, Canton, GA 30114-1233 | 2020-01-13 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1821639014 | Sarah Winslow | Social Worker | 4081 Hunters Cir E, Canton, MI 48188-2348 | 2019-09-30 |
| 1851943278 | Rose Irene Schulist | Social Worker | 50202 Proctor Rd, Canton, MI 48188-1010 | 2019-07-16 |
| 1285292540 | Katelyn M Maddock | Social Worker | 48130 Royal Pointe Dr, Canton, MI 48187-5466 | 2019-06-03 |
| Find all providers in CANTON | ||||
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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.