KATHLEEN SMITH (LSW) – Social Worker, NPI 1033516786

KATHLEEN SMITH (LSW) is a healthcare provider. based in Media, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. SW130561 (PA). The NPI Number for KATHLEEN SMITH (LSW) is 1033516786

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN SMITH (LSW)
NPI
1033516786
Phone
(484) 445-4147
Address
100 W SIXTH ST
Enumeration Date
24 November 2014
Last Update Date
7 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4844454147
Graduation Year
2013 (13 years ago)
PAC ID
8123490885
Group Practice PAC ID
7517187115
Professional Enrollment ID
I20230207002303
Address ID
PA190632428ME100XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for KATHLEEN SMITH (LSW)

  • 100 W SIXTH ST

    SUITE 305

    MEDIA, PA 190632428

    Phone: (484) 445-4147

    Fax: (484) 445-4149

    Type: Location

  • 94 PARK VALLEI LN

    BROOKHAVEN, PA 190153323

    Phone: (610) 836-1450

    Fax: (484) 445-4149

    Type: Mailing

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: 2023-02-07

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
I20230207002303IClinical Social WorkerPATBD

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 19063)

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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: 7517187115View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Clinical Social WorkerPA
Marriage And Family TherapistPA
-PA
Mental Health CounselorPA

Reviews

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Frequently asked questions

What is KATHLEEN SMITH (LSW)'s NPI number?
KATHLEEN SMITH (LSW)'s NPI is 1033516786 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KATHLEEN SMITH (LSW)?
For scheduling context, KATHLEEN SMITH (LSW) is shown as active in the registry.
What kind of doctor is KATHLEEN SMITH (LSW)?
KATHLEEN SMITH (LSW) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is KATHLEEN SMITH (LSW) registered?
Use Media, Pennsylvania as the headline location for KATHLEEN SMITH (LSW) here.
When was this NPI issued?
Enumeration for KATHLEEN SMITH (LSW) is noted as November 24, 2014 where the registry provides it.

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