EDWARD SMITH
NPI 1891125688
Social Worker - Clinical in Raleigh, NC

Active since November 15, 2013PECOS EnrolledAccepts Medicare Assignment
95.02/100
CMS Quality Rating
3609 MEMORY LN, RALEIGH, NC 27604(919) 622-0373 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Smith NPPES

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

EDWARD SMITH (NPI 1891125688) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P011177) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891125688
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEDWARD SMITH
Location Address3609 MEMORY LNRaleigh, NC 27604-4127
Mailing Address3609 Memory LnRaleigh, NC 27604-4127 · (919) 622-0373
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 15, 2013
Last NPPES UpdateMarch 9, 2017
NPI 1891125688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P011177
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22554-A (NC)
3609 MEMORY LN, Raleigh, NC 27604

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Edward Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648507830
PECOS Enrollment IDI20190812000039
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27604 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.09
Promoting Interoperability84
Improvement Activities40
Cost100

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 Edward Smith's NPI number?

The NPI number for Edward Smith is 1891125688. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Where is Edward Smith located?

Edward Smith practices at 3609 Memory Ln, Raleigh, NC 27604. The listed phone number is (919) 622-0373.

What is Edward Smith's specialty?

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

Is Edward Smith enrolled in Medicare?

Yes. Edward Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Edward 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 Edward Smith was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.