KENNETH GREGORY SMITH LCSW
NPI 1356397004
Social Worker - Clinical in Fayetteville, NC
About Kenneth Gregory Smith Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH GREGORY SMITH LCSW (NPI 1356397004) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C004052) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Kenneth Gregory Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28305
- Reassigned Medicare billing, North Carolina enrollment
Sanford, NC 27330
- Reassigned Medicare billing, North Carolina enrollment
- 3 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 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Kenneth Smith's NPI number?
The NPI number for Kenneth Smith is 1356397004. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Kenneth Smith located?
Kenneth Smith practices at 3425 Melrose Rd, Fayetteville, NC 28304. The listed phone number is (910) 609-3700.
What is Kenneth Smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kenneth Smith enrolled in Medicare?
Yes. Kenneth Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Smith reassigns Medicare benefits to 2 organizations: Cumberland County Communicare, Inc (Fayetteville, NC) and Life Springs Action Team, Inc. Dba Life Springs Restoration Center (Sanford, NC). Each 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 Kenneth Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Smith accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Kenneth 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 Kenneth Smith was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kenneth Gregory Smith, LCSW · NPI 1356397004
Clinical provider in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1356397004 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C004052 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3425 MELROSE RD, Fayetteville, NC 28304-1608
- **Phone:** (910) 609-3700 · **Fax:** (910) 609-3784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cumberland County Communicare, Inc (NPI 1255539870, Fayetteville, NC); Life Springs Action Team, Inc. Dba Life Springs Restoration Center (NPI 1326915604, Sanford, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2007
- **Other identifiers:** Medicaid 6002984 (NC); Other C004052 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1356397004) · Data from the CMS NPPES public registry.