Danielray Moises Blea Smith, LCSW
Social Worker, Clinical in Carlsbad, NM. Individual provider (NPI-1).
NPI number1407401136
StatusActive
Last updated in NPPESNov 11, 2024
Details
- NPI
- 1407401136
- Entity type
- Individual (NPI-1)
- Name
- Mr. Danielray Moises Blea Smith
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2019
- Certification date
- Nov 11, 2024
- Last updated
- Nov 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SWB-2024-1066 | NM | Yes |
Practice location
914 N Canal StCarlsbad, NM 88220-5110
Phone 575-885-4836
Mailing address
914 N Canal StCarlsbad, NM 88220-5110
Phone 755-815-8692
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Clinical Social Worker providers in Carlsbad · All 791 providers in Carlsbad
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