SHAYVEYANNA SMITH (MSW) – Social Worker, NPI 1114458486

SHAYVEYANNA SMITH (MSW) is a healthcare provider. based in Danville, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. The NPI Number for SHAYVEYANNA SMITH (MSW) is 1114458486

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SHAYVEYANNA SMITH (MSW)
NPI
1114458486
Phone
(217) 442-3200
Address
210 AVENUE C
Enumeration Date
27 March 2017
Last Update Date
27 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2174311784
Graduation Year
2016 (10 years ago)
PAC ID
7810486404
Group Practice PAC ID
0547212250
Professional Enrollment ID
I20251103001909
Address ID
IL618325613DA309XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for SHAYVEYANNA SMITH (MSW)

  • 210, Avenue C, Vermilion Heights, Danville, Vermilion County, Illinois, 61832, United States

    DANVILLE, IL 618325410

    Phone: (217) 442-3200

    Fax: (217) 442-7460

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251103001909IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61832)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547212250View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerOH
-IL
Nurse PractitionerAZ
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Where can patients find SHAYVEYANNA SMITH (MSW)'s NPI?
You can confirm SHAYVEYANNA SMITH (MSW) with NPI 1114458486; it appears in the national provider directory.
Is SHAYVEYANNA SMITH (MSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHAYVEYANNA SMITH (MSW) list a primary specialty?
If you are matching referrals, note Social Worker for SHAYVEYANNA SMITH (MSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHAYVEYANNA SMITH (MSW)?
The page summarizes Danville, Illinois for SHAYVEYANNA SMITH (MSW); expand the address list for detail.
How can I contact SHAYVEYANNA SMITH (MSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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CROSSPOINT HUMAN SERVICES

Mental Health Clinic/Center (Including Community Mental Health Center)
210, Avenue C, Vermilion Heights, Danville, Vermilion County, Illinois, 61832, United States
NPI: 1538254214