MARY EDSON SMITH LCSW
NPI 1891301990
Social Worker - Clinical in Gresham, OR
About Mary Edson Smith Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY EDSON SMITH LCSW (NPI 1891301990) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (L10327) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 (PECOS)
Mary Edson Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRESHAM, OR 97030
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 Mary Smith's NPI number?
The NPI number for Mary Smith is 1891301990. It was assigned to this individual provider in the NPPES registry on September 23, 2020.
Where is Mary Smith located?
Mary Smith practices at 1700 NW Civic Dr Ste 310, Gresham, OR 97030. The listed phone number is (503) 666-8832.
What is Mary Smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Smith enrolled in Medicare?
Yes. Mary Smith is registered in the Medicare PECOS enrollment system.
What insurance does Mary Smith accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mary 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 Mary Smith was last updated on September 23, 2020. 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.
# Mary Edson Smith, LCSW · NPI 1891301990
Clinical provider in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since September 23, 2020.
## Identity
- **NPI:** 1891301990 (Entity type: Individual)
- **Enumerated:** September 23, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L10327 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 NW CIVIC DR STE 310, Gresham, OR 97030-3774
- **Phone:** (503) 666-8832
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** September 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1891301990) · Data from the CMS NPPES public registry.