THEIA SMALLWOOD
NPI 1932676558
Social Worker - Clinical in Cranford, NJ

Active since November 01, 2018PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
108 ALDEN ST, CRANFORD, NJ 07016(908) 497-3968 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theia Smallwood NPPES

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

THEIA SMALLWOOD (NPI 1932676558) is an individual clinical provider in Cranford, New Jersey, licensed in New Jersey (44SC05790600) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1932676558
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHEIA SMALLWOOD
Location Address108 ALDEN STCranford, NJ 07016-2191
Mailing Address590 N 7th StNewark, NJ 07107-2522 · (973) 596-3835 · Fax (973) 596-3834
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 1, 2018
NPI 1932676558 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 NJ · 44SC05790600
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.

108 ALDEN ST, Cranford, NJ 07016

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

Theia Smallwood 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 ID547500233
PECOS Enrollment IDI20190315000605
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07016 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Psychiatry)
108 ALDEN ST
CRANFORD, NJ 07016
Psychiatry & Neurology (Psychiatry)
108 ALDEN ST
CRANFORD, NJ 07016
Counselor (Mental Health)
108 ALDEN ST
CRANFORD, NJ 07016
Counselor (Professional)
108 ALDEN ST
CRANFORD, NJ 07016
Social Worker (Clinical)
108 ALDEN ST
CRANFORD, NJ 07016
Registered Nurse (Psychiatric/Mental Health)
108 ALDEN ST
CRANFORD, NJ 07016
Registered Nurse (Psychiatric/Mental Health)
108 ALDEN ST
CRANFORD, NJ 07016
Clinic/Center (Mental Health (Including Community Mental Health Center))
108 ALDEN ST
CRANFORD, NJ 07016

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 Theia Smallwood's NPI number?

The NPI number for Theia Smallwood is 1932676558. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Theia Smallwood located?

Theia Smallwood practices at 108 Alden St, Cranford, NJ 07016. The listed phone number is (908) 497-3968.

What is Theia Smallwood's specialty?

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

Is Theia Smallwood enrolled in Medicare?

Yes. Theia Smallwood 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 Theia Smallwood accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Theia Smallwood 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 Theia Smallwood was last updated on November 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.