SHERIDAN A. SMITH LSW
NPI 1144041906
Counselor - Professional in Philadelphia, PA
About Sheridan A. Smith Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHERIDAN A. SMITH LSW (NPI 1144041906) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SW141013) and active in the NPI registry since October 2024. The provider is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Sheridan A. Smith Lsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Sheridan Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Plains, NY 10604
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- Also billed through NPI 1578289252 (Pennsylvania)
- 10 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19103
PHILADELPHIA, PA 19103
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 Sheridan Smith's NPI number?
The NPI number for Sheridan Smith is 1144041906. It was assigned to this individual provider in the NPPES registry on October 23, 2024.
Where is Sheridan Smith located?
Sheridan Smith practices at 1880 John F Kennedy Blvd Ste 1110, Philadelphia, PA 19103. The listed phone number is (152) 544-7600.
What is Sheridan Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sheridan Smith enrolled in Medicare?
Yes. Sheridan 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 organization bills Medicare for Sheridan Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheridan Smith reassigns Medicare benefits to Forge Medical Group, LLC (White Plains, NY). 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 Sheridan 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 Sheridan Smith was last updated on October 23, 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.
# Sheridan A. Smith, LSW · NPI 1144041906
Professional provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 23, 2024.
## Identity
- **NPI:** 1144041906 (Entity type: Individual)
- **Enumerated:** October 23, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** SW141013 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1880 JOHN F KENNEDY BLVD STE 1110, Philadelphia, PA 19103-7447
- **Phone:** (152) 544-7600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Forge Medical Group, LLC (NPI 1811561855, White Plains, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144041906) · Data from the CMS NPPES public registry.