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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.

KYNESHA SMITH LISW-CP
NPI 1609586155
Social Worker in St Petersburg, FL

Active since November 24, 2022PECOS Enrolled
7901 4TH ST N STE 4000, ST PETERSBURG, FL 33702(404) 981-5004 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2023, Jan 6, 2023, Nov 24, 2022 (3 updates tracked since 2022).

About Kynesha Smith Lisw-cp NPPES

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

KYNESHA SMITH LISW-CP (NPI 1609586155) is an individual social worker in St Petersburg, Florida, licensed in South Carolina (15703) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609586155
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKYNESHA SMITHCredential: LISW-CP
Location Address7901 4TH ST N STE 4000St Petersburg, FL 33702-4305
Mailing AddressPo Box 248Mayesville, SC 29104-0248 · (404) 981-5004
Phone(404) 981-5004
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 24, 2022
Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1609586155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in SC · 15703✔ Licensed in SC · 13386
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 10931-C (NV), I.2304537 (OH)
7901 4TH ST N STE 4000, St Petersburg, FL 33702
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Secondary Practice Location 1

Location 1136 Forum Dr Ste 4Columbia, SC 29229-7980 · Phone (706) 928-6260

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kynesha Smith Lisw-cp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183078900
PECOS Enrollment IDI20251031001732
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.

Medicare Billing Reassignment

Medicare enrollment records show Kynesha Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
208 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Ohio, South Carolina and Texas enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 12

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

THE LUMINESCENT MIND, LLC
Counselor (Mental Health)
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (786) 266-0108
3 IN 1 NUTRITION LLC
Clinic/Center
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (813) 693-2182
MADISON ATKINSON LCSW
Social Worker (Clinical)
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (727) 877-6434
KATHERYNE PUENTES
Counselor (Mental Health)
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (336) 933-1798
WELL-BEING WELLNESS-FOCUSED HEALTHCARE
Clinic/Center (Primary Care)
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (817) 720-0150
JPE COUNSELING LLC
Counselor (Mental Health)
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (407) 279-1803
BECKY GRACE ARONSON
Counselor (Mental Health)
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (754) 600-9210
NIKI DEE ANN SMITH
Health and Wellness Coach
7901 4TH ST N STE 4000
ST PETERSBURG, FL 33702
Pinellas County (951) 772-5738

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 Kynesha Smith's NPI number?

The NPI number for Kynesha Smith is 1609586155. It was assigned to this individual provider in the NPPES registry on November 24, 2022.

Where is Kynesha Smith located?

Kynesha Smith practices at 7901 4th St N Ste 4000, St Petersburg, FL 33702. The listed phone number is (404) 981-5004.

What is Kynesha Smith's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kynesha Smith enrolled in Medicare?

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

Which organization bills Medicare for Kynesha Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kynesha Smith reassigns Medicare benefits to Grow Healthcare Group PA (Miami, 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 Kynesha Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kynesha Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare and MedMutual and 1 other insurer list Kynesha 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 Kynesha Smith was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.