GRACE KIMBURI SMITH LCSW
NPI 1114104817
Social Worker - Clinical in Concord, NC
About Grace Kimburi Smith Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE KIMBURI SMITH LCSW (NPI 1114104817) is an individual clinical provider in Concord, North Carolina, licensed in North Carolina (C008449) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Asheville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Kimburi Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grace Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida, North Carolina and South Carolina enrollments
- 247 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 28027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Grace Smith's NPI number?
The NPI number for Grace Smith is 1114104817. It was assigned to this individual provider in the NPPES registry on January 24, 2008.
Where is Grace Smith located?
Grace Smith practices at 7895 Waterway Dr NW Apt 306, Concord, NC 28027. The listed phone number is (828) 808-4397.
What is Grace Smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Grace Smith enrolled in Medicare?
Yes. Grace Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grace Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Smith reassigns Medicare benefits to Mccd Fl Psychiatry Services PA (Jacksonville, 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 Grace Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Smith accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Grace 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 Grace Smith was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Grace Kimburi Smith, LCSW · NPI 1114104817
Clinical provider in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since January 24, 2008.
## Identity
- **NPI:** 1114104817 (Entity type: Individual)
- **Enumerated:** January 24, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C008449 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 7895 WATERWAY DR NW APT 306, Concord, NC 28027-4436
- **Phone:** (828) 808-4397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2020
- **Other identifiers:** Other C008449 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1114104817) · Data from the CMS NPPES public registry.