Mr Larry William Smith, LCSW 106859 in Cleveland, TN - Medicare Clinical Social Worker Provider

Mr Larry William Smith, LCSW 106859 is a medicare enrolled "Social Worker - Clinical" provider in Cleveland, Tennessee. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sud Specialty Group - Ca and his current practice location is 5046 Skyline Way Ne, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (909) 440-0082.

Mr Larry William Smith is licensed to practice in California (license number 106859) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306366182.

Contact Information

	Mr Larry William Smith, LCSW 106859
	5046 Skyline Way Ne, Cleveland, TN 37312-2492
	(909) 440-0082
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry William Smith
Gender	Male
Speciality	Clinical Social Worker
Experience	11 Years
Location	5046 Skyline Way Ne, Cleveland, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Larry William Smith graduated from medical school in 2015

NPI Data:

NPI Number: 1306366182
Provider Enumeration Date: 06/22/2017
Last Update Date: 05/15/2026

Medicare PECOS Information:

PECOS PAC ID: 4385012954
Enrollment ID: I20221201003397

Medical Identifiers

Medical identifiers for Mr Larry William Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306366182	NPI	-	NPPES
1306366182	Medicaid	VA
1306366182	Medicaid	CT
1306366182	Medicaid	CA
1306366182	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	106859 (California)	Primary
1041C0700X	Social Worker - Clinical	0904019034 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	12697-C (Nevada)	Secondary
1041C0700X	Social Worker - Clinical	016507 (Connecticut)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sud Specialty Group - Ca	9537534177	456

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Larry William Smith allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry William Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Larry William Smith, LCSW 106859 5046 Skyline Way Ne, Cleveland, TN 37312-2492 Ph: (909) 440-0082	Mr Larry William Smith, LCSW 106859 5046 Skyline Way Ne, Cleveland, TN 37312-2492 Ph: (909) 440-0082

Reviews and Comments

Social Worker in Cleveland, TN

Cynthia Sue Wilson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 Charles Cir Se, Cleveland, TN 37323 Phone: 515-408-6383
Sarah Malanowski, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3855 Ocoee St N Fl 4, Cleveland, TN 37312 Phone: 888-291-4357
Lisa Whittle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4160 Ocoee St N Ste 8, Cleveland, TN 37312 Phone: 423-290-3509
Julie Ann Hook, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Adkisson Dr Nw Ste 205, Cleveland, TN 37312 Phone: 423-368-5893
Ms. Julie A Holt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Westside Dr Nw, Ste 309, Cleveland, TN 37312 Phone: 423-728-2282 Fax: 423-728-2234
Reba A Terry, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3520 Ozark St Nw, Cleveland, TN 37312 Phone: 423-421-7322
Amanda Jo Teague, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3030 Blythe Rd Se, Cleveland, TN 37323 Phone: 423-331-2745

Mr Larry William Smith, LCSW 106859 - Medicare Clinical Social Worker in Cleveland, TN