MRS. SHANIQUA SMITH LCSW
NPI 1093552143
Social Worker - Clinical in Fairburn, GA

Active since July 15, 2024PECOS EnrolledAccepts Medicare Assignment
75 WASHINGTON ST, #111, FAIRBURN, GA 30213(470) 485-3587 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2024, Jul 15, 2024 (2 updates tracked since 2024).

About Mrs. Shaniqua Smith Lcsw NPPES

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

MRS. SHANIQUA SMITH LCSW (NPI 1093552143) is an individual clinical provider in Fairburn, Georgia, licensed in Georgia (CSW009187) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093552143
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANIQUA SMITHCredential: LCSW
Location Address75 WASHINGTON ST, #111Fairburn, GA 30213-9998
Mailing Address75 Washington St, #111Fairburn, GA 30213-9998
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2024
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1093552143 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 GA · CSW009187
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.
75 WASHINGTON ST, Fairburn, GA 30213

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shaniqua Smith Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820521917
PECOS Enrollment IDI20241028003380
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

2

Medicare enrollment records show Shaniqua Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
230 PEACHTREE ST NW STE 1800
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group

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 30213 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 Shaniqua Smith's NPI number?

The NPI number for Shaniqua Smith is 1093552143. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Shaniqua Smith located?

Shaniqua Smith practices at 75 Washington St #111, Fairburn, GA 30213. The listed phone number is (470) 485-3587.

What is Shaniqua Smith's specialty?

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

Is Shaniqua Smith enrolled in Medicare?

Yes. Shaniqua Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shaniqua Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaniqua Smith reassigns Medicare benefits to 2 organizations: Empowerment Resource Center, Inc. (Atlanta, GA) 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 Shaniqua Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaniqua Smith accept?

Health plans from Oscar Health list Shaniqua 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 Shaniqua Smith was last updated on July 24, 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.