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Samuel Scott Smith , BA, AAC

Case Manager/Care Coordinator β€’ Centralia, WA

Active NPI 1073641544 Individual Practitioner Male Practitioner
Practice location in NPPES

2428 W Reynolds Ave
Centralia, WA 985314554

Call 3603309044 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2428 W Reynolds Ave

Centralia, WA 985314554

Telephone 3603309044
Organization at the Same NPPES Address or Phone
Cascade Community Healthcare Facility NPI 1619068624

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centralia and Washington

7 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Centralia, WA (2,102 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Monica Aparicio , ARNP

Nurse Practitioner

NPI 1235529843

Advanced Registered Nurse Practitioner

Luke Greene , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134423056

Psychiatric-Mental Health Nurse Practitioner

Duane Patterson

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154054344

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 05, 2017

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ“
Updated Business Mailing Address April 05, 2017

Registered at 1112 LEGION WAY SE, OLYMPIA, WA 985011653 (Tel: 7173685577)

πŸ‘€
Provider Name / Credentials Updated April 05, 2017

Recorded as SAMUEL SMITH, BA, AAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Adult Companion

βœ…
NPI Profile Active April 18, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 18, 2008

Registered at 4729 SE 75TH AVE, PORTLAND, OR 972064351 (Tel: 5037881680)

πŸ“
Business Mailing Address (Initial Record) April 18, 2008

Registered at 4729 SE 75TH AVE, PORTLAND, OR 972064351 (Tel: 5037881680)

πŸ‘€
Provider Name / Credentials (Initial Record) April 18, 2008

Recorded as SAMUEL SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2008

Adult Companion

🟒
Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073641544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: April 05, 2017
Sole Proprietor: Yes

Mailing Address

1112 Legion Way Se

Olympia, WA 985011653

Phone: 7173685577

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.