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Deactivated NPI 1801893987 Deactivated / Inactive NPI Male Practitioner

Stephen Smith , LCSW

Social Worker - Clinical • Mexico, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2005
NPI Deactivation Date April 20, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Stephen Smith, LCSW was a registered Social Worker - Clinical practicing in Mexico, MO. Throughout an active medical career spanning 16 years, Stephen Smith provided care at the practice location at 212 W JACKSON ST until profile deactivation on 2021-04-20.

Practice Location & Contact Primary Location

Practice Address

212 W Jackson St

Mexico, MO 652652712

Telephone 5735821234
Fax 5735821212
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Mexico, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
29 Specialists

Practicing in Mexico, MO (5572 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MO 2000148168

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ahsan Syed , MD

Psychiatry & Neurology - Psychiatry

NPI 1003970849

Doctor of Medicine (M.D.)

Kristen Fishback , LCSW

Social Worker - Clinical

NPI 1013559517

Licensed Clinical Social Worker

Mckenzi Ross , FNP

Nurse Practitioner - Family

NPI 1013706183

Family Nurse Practitioner

Patricia Erwin , LCSW

Social Worker - Clinical

NPI 1023170966

Licensed Clinical Social Worker

Mary Crews

Counselor - Professional

NPI 1023388626
Dwight Mcleod , DDSMS

Dentist - Periodontics

NPI 1063610392

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 20, 2021

Record deactivated on April 20, 2021

NPI Profile Active May 18, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2016

Registered at 212 W JACKSON ST, MEXICO, MO 652652712 (Tel: 5735821234)

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Updated Business Mailing Address May 18, 2016

Registered at 7888 AUDRAIN ROAD 355, MEXICO, MO 652655816 (Tel: 5735821234)

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Provider Name / Credentials Updated May 18, 2016

Recorded as STEPHEN SMITH, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2016

Social Worker (License #2000148168 in MO)

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Initial NPI Registration & Enumeration July 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801893987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2005
Last Update: May 18, 2016
Deactivation Date: April 20, 2021

Mailing Address

7888 Audrain Road 355

Mexico, MO 652655816

Phone: 5735821234

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.