DENISE E SMITH (LCSW) – Clinical Social Worker, NPI 1205917721

DENISE E SMITH (LCSW) is a healthcare provider. based in Salem, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2701 (OR). The NPI Number for DENISE E SMITH (LCSW) is 1205917721

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DENISE E SMITH (LCSW)
NPI
1205917721
Phone
(503) 510-7695
Address
2697 12TH PL SE
Enumeration Date
18 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033621999
Graduation Year
1982 (44 years ago)
PAC ID
3476735630
Group Practice PAC ID
6002702420
Professional Enrollment ID
I20110309000182
Address ID
OR973024121SA821XXSXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

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Provider Addresses for DENISE E SMITH (LCSW)

  • 2697, 12th Place Southeast, Salem, Marion County, Oregon, 97302, United States

    SALEM, OR 973022537

    Phone: (503) 510-7695

    Fax: (503) 315-7571

    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: 2011-03-09

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
I20110309000182IClinical Social WorkerORTBD

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 97302)

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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: 6002702420View full group profile
NameSpecialtyState
Mental Health CounselorOR
Nurse PractitionerOR
Clinical Social WorkerOR
Clinical Social WorkerOR
-OR
Clinical Social WorkerOR
Nurse PractitionerOR
P S Y C H I A T R YKY
Clinical Social WorkerOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

Does DENISE E SMITH (LCSW) have a public NPI I can cite?
Public records show DENISE E SMITH (LCSW) under NPI 1205917721.
Is DENISE E SMITH (LCSW)'s NPI status active today?
Active status means DENISE E SMITH (LCSW)'s NPI record is not deactivated in the public file.
What type of care does DENISE E SMITH (LCSW) provide?
DENISE E SMITH (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to DENISE E SMITH (LCSW)?
DENISE E SMITH (LCSW) shows a connection to Salem, Oregon in registry-derived data.
Who maintains DENISE E SMITH (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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