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SHANNON DEVAUGHN SMITH
NPI 1326669888
Counselor - Addiction (Substance Use Disorder) in Lakewood, OH

Active since May 06, 2020
17400 NORTHWOOD AVE, LAKEWOOD, OH 44107(216) 403-8640 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Devaughn Smith NPPES

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

SHANNON DEVAUGHN SMITH (NPI 1326669888) is an individual addiction (substance use disorder) provider in Lakewood, Ohio, licensed in Ohio (000332976) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1326669888
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON DEVAUGHN SMITH
Location Address17400 NORTHWOOD AVELakewood, OH 44107-2210
Mailing Address17400 Northwood AveLakewood, OH 44107-2210 · (216) 403-8640
Phone(216) 403-8640
Sole ProprietorNo
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1326669888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 000332976
17400 NORTHWOOD AVE, Lakewood, OH 44107
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Other Identifiers 1

MedicaidAPP-000332976OH

Other Providers at the Same Location NPPES 2

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

OLD SCHOOL LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
17400 NORTHWOOD AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 403-8640
MR. JOHN JOSEPH SMITH
Counselor (Addiction (Substance Use Disorder))
17400 NORTHWOOD AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 403-8640

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 Shannon Smith's NPI number?

The NPI number for Shannon Smith is 1326669888. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Shannon Smith located?

Shannon Smith practices at 17400 Northwood Ave, Lakewood, OH 44107. The listed phone number is (216) 403-8640.

What is Shannon Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on May 6, 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.