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DONITA L SMITH LCSW
NPI 1033758693
Social Worker - Clinical in Pikeville, NC

Active since December 31, 2019PECOS Enrolled
107 BROOKSIDE WAY # 1067, PIKEVILLE, NC 27863(528) 833-1472(252) 439-0900 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Jun 16, 2020, Dec 31, 2019 (3 updates tracked since 2019).

About Donita L Smith Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONITA L SMITH LCSW (NPI 1033758693) is an individual clinical provider in Pikeville, North Carolina, licensed in North Carolina (C016352) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033758693
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDONITA L SMITHCredential: LCSW
Location Address107 BROOKSIDE WAY # 1067Pikeville, NC 27863-8480
Mailing Address107 Brookside WayPikeville, NC 27863-8480 · (252) 883-3147
Phone(528) 833-1472
Fax(252) 439-0900
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 31, 2019
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1033758693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C016352
Definition
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.
107 BROOKSIDE WAY # 1067, Pikeville, NC 27863
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donita L Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224479498
PECOS Enrollment IDI20240520000093
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Donita Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathway To Eden
Same address
Clinical
107 BROOKSIDE WAY
Pikeville, NC 27863
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1073340592 (919) 980-0824
Restoration Family Services, Inc.
18 mi
Addiction (Substance Use Disorder)
714 WILKINS ST
Smithfield, NC 27577
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1396921201 (919) 938-9502
Second Chance Behavioral Health
60 mi
Mental Health
1425 S GLENBURNIE RD STE 3
New Bern, NC 28562
  • Reassigned Medicare billing, North Carolina enrollment
  • 21 clinicians in this Medicare group
NPI 1205341112 (252) 514-9888
Grow Healthcare Group PA
684 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina enrollment
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27863 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donita Smith's NPI number?

The NPI number for Donita Smith is 1033758693. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Where is Donita Smith located?

Donita Smith practices at 107 Brookside Way # 1067, Pikeville, NC 27863. The listed phone number is (528) 833-1472.

What is Donita Smith's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Donita Smith enrolled in Medicare?

Yes. Donita Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donita Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donita Smith reassigns Medicare benefits to 4 organizations: Pathway To Eden (Pikeville, NC), Restoration Family Services, Inc. (Smithfield, NC), Second Chance Behavioral Health (New Bern, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donita Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donita Smith accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Donita Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donita Smith was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.