Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003920125 Deactivated / Inactive NPI Male Practitioner

Paul C. Smith , LCSW

Social Worker • Fossil, OR

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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, Paul Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date November 13, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Paul Smith, LCSW was a registered Social Worker practicing in Fossil, OR. Throughout an active medical career spanning 12 years, Paul Smith provided care at the practice location at 401 FOURTH STREET until profile deactivation on 2018-11-13.

Practice Location & Contact Primary Location

Practice Address

401 Fourth Street

Fossil, OR 97830

Telephone 5417632746
Fax 5417632170

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fossil, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Fossil, OR (2149 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 Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Marty Boehlke , THW

Peer Specialist

NPI 1154039584
Marissa Jacobson

Peer Specialist

NPI 1184432148
Cathy Goldsmith , MED, CADCI

Counselor - Addiction (Substance Use Disorder)

NPI 1326303900

Master of Education, CADCI

NPI 1346977824

QMHAPEER

Maria Hazel , PSS

Peer Specialist

NPI 1528819745
Maryhelen Peterson , QMHP

Counselor - Professional

NPI 1780797357

Qualified Mental Health Professional

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 November 13, 2018

Record deactivated on November 13, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 FOURTH STREET, FOSSIL, OR 97830 (Tel: 5417632746)

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Updated Business Mailing Address July 08, 2007

Registered at 513 WEST WALNUT STREET, CONDON, OR 97823 (Tel: 5413842303)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL SMITH, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker

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Initial NPI Registration & Enumeration August 18, 2006

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: 1003920125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: November 13, 2018

Mailing Address

513 West Walnut Street

Condon, OR 97823

Phone: 5413842303

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.