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EBONIQUA SMITH LCSW
NPI 1104399104
Social Worker - Clinical in Brooklyn, NY

Active since January 02, 2019PECOS Enrolled
300 LENOX RD APT 5J, BROOKLYN, NY 11226(646) 851-7658 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2026, Jan 2, 2019 (2 updates tracked since 2019).

About Eboniqua Smith Lcsw NPPES

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

EBONIQUA SMITH LCSW (NPI 1104399104) is an individual clinical provider in Brooklyn, New York, licensed in New York (098623) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104399104
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONIQUA SMITHCredential: LCSW
Location Address300 LENOX RD APT 5JBrooklyn, NY 11226-2210
Mailing Address300 Lenox Rd Apt 5jBrooklyn, NY 11226-2210 · (646) 851-7658
Phone(646) 851-7658
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 2, 2019
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1104399104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 098623
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 104601-1 (NY)
300 LENOX RD APT 5J, Brooklyn, NY 11226
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3870076326
PECOS Enrollment IDI20260312001366
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 Reassignment

Medicare enrollment records show Eboniqua Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,087 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 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 11226 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Eboniqua Smith's NPI number?

The NPI number for Eboniqua Smith is 1104399104. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Eboniqua Smith located?

Eboniqua Smith practices at 300 Lenox Rd Apt 5J, Brooklyn, NY 11226. The listed phone number is (646) 851-7658.

What is Eboniqua Smith's specialty?

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

Is Eboniqua Smith enrolled in Medicare?

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

Which organization bills Medicare for Eboniqua Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eboniqua Smith reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Eboniqua Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eboniqua Smith was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.