MRS. DEDRA L SMITH LSW, LICDC
NPI 1780158972
Social Worker in Columbus, OH

Q: What is Dedra Smith's NPI number?

The NPI number for Dedra Smith is 1780158972. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Q: What is Dedra Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dedra Smith was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 22, 2019

1791 ALUM CREEK DR, COLUMBUS, OH 43207(614) 445-8131 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 28, 2021, Jan 22, 2019 (2 updates tracked since 2019).

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About Mrs. Dedra L Smith Lsw, Licdc NPPES

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

MRS. DEDRA L SMITH LSW, LICDC (NPI 1780158972) is an individual social worker in Columbus, Ohio, licensed in Ohio (S1000824) and active in the NPI registry since January 2019. She maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1780158972

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. DEDRA L SMITHCredential: LSW, LICDC

Location Address1791 ALUM CREEK DRColumbus, OH 43207-1757

Mailing Address1791 Alum Creek DrColumbus, OH 43207-1708 · (614) 445-8131

Phone(614) 445-8131

Sole ProprietorNo

Enumeration DateJanuary 22, 2019

Last NPPES UpdateFebruary 28, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2021

✔ NPI 1780158972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OH · S1000824

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LICDC.162057 (OH)

1791 ALUM CREEK DR, Columbus, OH 43207

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Secondary Practice Location 1

Location 1527 S High StColumbus, OH 43215-5602 · Phone (614) 227-9444

Other Identifiers 1

Medicaid0331999OH

Other Providers at the Same Location NPPES 20

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

TARA SUE HUPP CDCA

Counselor (Addiction (Substance Use Disorder))