Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447704770 Individual Practitioner Male Practitioner

Kenneth David Smith , LCSW

Social Worker - Clinical • Grants Pass, OR

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kenneth Smith, LCSW is a registered Social Worker - Clinical practitioner in Grants Pass, OR. With approximately 8 years of clinical practice since completing medical education in 2018, Kenneth Smith provides healthcare services at the registered practice location at 524 NW WOODSON DR.

Kenneth Smith accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

524 Nw Woodson Dr

Grants Pass, OR 975261174

Telephone 5412645687
Fax 5412059431
Associated Practice Facility / Clinic
🏢 K David Smith Coaching Llc Facility NPI 1386523785

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Grants Pass, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -6.2 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Grants Pass, OR (5148 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (8 Years) 8 Yrs
Grants Pass Specialty Average (14.2 Years) 14.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-29
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L11298

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License ID 43576

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License CA 124154

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.

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2023

Social Worker (License #43576 in ID)

📍
Updated Practice Location July 02, 2023

Registered at 524 NW WOODSON DR, GRANTS PASS, OR 975261174 (Tel: 5412911377)

📍
Updated Business Mailing Address July 02, 2023

Registered at 524 NW WOODSON DR, GRANTS PASS, OR 975261174 (Tel: 5412911377)

👤
Provider Name / Credentials Updated July 02, 2023

Recorded as KENNETH SMITH, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Counselor (License #L11298 in OR)

📍
Updated Practice Location August 26, 2020

Registered at 1001 MANZANITA ST, CENTRAL POINT, OR 975023064 (Tel: 5412911377)

📍
Updated Business Mailing Address August 26, 2020

Registered at 931 CHEVY WAY, MEDFORD, OR 975044127 (Tel: 5412911377)

NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2016

Registered at 715 SW RAMSEY AVE, GRANTS PASS, OR 975275500 (Tel: 5412911377)

📍
Updated Business Mailing Address August 03, 2016

Registered at 715 SW RAMSEY AVE, GRANTS PASS, OR 975275500 (Tel: 5412911377)

👤
Provider Name / Credentials Updated August 03, 2016

Recorded as KENNETH SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Counselor

🟢
Initial NPI Registration & Enumeration August 03, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kenneth Smith. Be the first to share your experience!

Sign in to leave a review for Kenneth Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1447704770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2016
Last Update: August 29, 2024
Sole Proprietor: Yes

Mailing Address

524 Nw Woodson Dr

Grants Pass, OR 975261174

Phone: 5412911377

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.