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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLY V SMITH LCSW
NPI 1205585544
Social Worker - Clinical in Conyers, GA

Active since March 23, 2022PECOS Enrolled
1510 KLONDIKE RD SW STE 301, CONYERS, GA 30094(770) 648-1308(678) 509-7656 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Apr 1, 2024 (2 updates tracked since 2024).

About Carly V Smith Lcsw NPPES

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

CARLY V SMITH LCSW (NPI 1205585544) is an individual clinical provider in Conyers, Georgia, licensed in Georgia (CSW010602) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1205585544
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY V SMITHCredential: LCSW
Location Address1510 KLONDIKE RD SW STE 301Conyers, GA 30094-5121
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7725
Phone(770) 648-1308
Fax(678) 509-7656
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1205585544 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 · CSW010602
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.
1510 KLONDIKE RD SW STE 301, Conyers, GA 30094
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Secondary Practice Location 1

Location 1175 Gwinnett DrLawrenceville, GA 30046-8444 · Phone (678) 209-2394

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30094 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LYSSA EILEEN SOLOMON SIMPSON LPC
Counselor (Professional)
1510 KLONDIKE RD SW STE 301
CONYERS, GA 30094
Rockdale County (706) 498-9570

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 Carly Smith's NPI number?

The NPI number for Carly Smith is 1205585544. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Carly Smith located?

Carly Smith practices at 1510 Klondike Rd SW Ste 301, Conyers, GA 30094. The listed phone number is (770) 648-1308.

What is Carly Smith's specialty?

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

Is Carly Smith enrolled in Medicare?

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

What insurance does Carly Smith accept?

Health plans from Oscar Health and UnitedHealthcare list Carly 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 Carly Smith was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.