1. Home
  2. Directory
  3. Georgia
  4. Roswell
  5. Social Worker
  6. NPI Profile

LAURA KATHRYN SMITH LCSW
NPI 1720211063
Social Worker - Clinical in Roswell, GA

Active since September 03, 2009Opted out of Medicare · through Apr 1, 2028
555 SUN VALLEY DR STE L1, ROSWELL, GA 30076(404) 394-1096(404) 990-3531 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 25, 2022, Aug 30, 2016 (2 updates tracked since 2016).

About Laura Kathryn Smith Lcsw NPPES

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

LAURA KATHRYN SMITH LCSW (NPI 1720211063) is an individual clinical provider in Roswell, Georgia, licensed in Georgia (CSW003510) and active in the NPI registry since September 2009. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1720211063
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAURA KATHRYN SMITHCredential: LCSW
Location Address555 SUN VALLEY DR STE L1Roswell, GA 30076-5630
Mailing Address555 Sun Valley Dr Ste L1Roswell, GA 30076-5630 · (404) 394-1096 · Fax (404) 990-3531
Phone(404) 394-1096
Fax(404) 990-3531
Sole ProprietorNo
Enumeration DateSeptember 3, 2009
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1720211063 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 · CSW003510
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.
555 SUN VALLEY DR STE L1, Roswell, GA 30076
Open in Google Maps ↗

Other Names 1

Former Name (1)Laura Kathryn Gresham Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Kathryn Smith Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

SUSAN PAYNE RICHARDSON LPC
Counselor (Professional)
555 SUN VALLEY DR STE L1
ROSWELL, GA 30076
Fulton County (404) 394-1096
DR. LEE ANNE ANNE DICKERSON LCP
Psychologist
555 SUN VALLEY DR STE L1
ROSWELL, GA 30076
Fulton County (404) 394-1096
ARBOR COVE THERAPY LLC
Social Worker (Clinical)
555 SUN VALLEY DR STE L1
ROSWELL, GA 30076
Fulton County (404) 394-1096

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 Laura Smith's NPI number?

The NPI number for Laura Smith is 1720211063. It was assigned to this individual provider in the NPPES registry on September 3, 2009. The provider is also known as Laura Kathryn Gresham Lcsw.

Where is Laura Smith located?

Laura Smith practices at 555 Sun Valley Dr Ste L1, Roswell, GA 30076. The listed phone number is (404) 394-1096.

What is Laura Smith's specialty?

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

Is Laura Smith enrolled in Medicare?

No. Laura Smith has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Smith was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.