MRS. FABRAY DEALOW SMITH-WIGGINS LCSW
NPI 1821425372
Social Worker - Clinical in Lake City, FL

Active since September 30, 2013PECOS Enrolled
124 NW MADISON ST, LAKE CITY, FL 32055(386) 209-0619 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Fabray Dealow Smith-wiggins Lcsw NPPES

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

MRS. FABRAY DEALOW SMITH-WIGGINS LCSW (NPI 1821425372) is an individual clinical provider in Lake City, Florida, licensed in Florida (SW22559) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821425372
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. FABRAY DEALOW SMITH-WIGGINSCredential: LCSW
Location Address124 NW MADISON STLake City, FL 32055-3922
Mailing Address3200 Nw Lake Jeffery RdLake City, FL 32055-4773 · (386) 209-0619
Sole ProprietorYes
Enumeration DateSeptember 30, 2013
Last NPPES UpdateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1821425372 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 FL · SW22559
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.
124 NW MADISON ST, Lake City, FL 32055

Other Names 1

Other Name (5)Mrs. Fabray Wiggins Lcsw

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)

Mrs. Fabray Dealow Smith-wiggins Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Fabray Smith-wiggins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 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 32055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Massage Therapist
124 NW MADISON ST
LAKE CITY, FL 32055
Social Worker (Clinical)
124 NW MADISON ST
LAKE CITY, FL 32055
Massage Therapist
124 NW MADISON ST
LAKE CITY, FL 32055

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 Fabray Smith-wiggins's NPI number?

The NPI number for Fabray Smith-wiggins is 1821425372. It was assigned to this individual provider in the NPPES registry on September 30, 2013. The provider is also known as Mrs. Fabray Wiggins Lcsw.

Where is Fabray Smith-wiggins located?

Fabray Smith-wiggins practices at 124 NW Madison St, Lake City, FL 32055. The listed phone number is (386) 209-0619.

What is Fabray Smith-wiggins's specialty?

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

Is Fabray Smith-wiggins enrolled in Medicare?

Yes. Fabray Smith-wiggins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fabray Smith-wiggins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fabray Smith-wiggins 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 Fabray Smith-wiggins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fabray Smith-wiggins accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Fabray Smith-wiggins 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 Fabray Smith-wiggins was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.