Mrs Shaniqua Smith, LCSW in Fairburn, GA - Medicare Social Worker Provider

Mrs Shaniqua Smith, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairburn, Georgia. Her current practice location is 75 Washington St, #111, Fairburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 485-3587.

Mrs Shaniqua Smith is licensed to practice in Georgia (license number CSW009187) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093552143.

Contact Information

	Mrs Shaniqua Smith, LCSW
	75 Washington St, #111, Fairburn, GA 30213-9998
	(470) 485-3587
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shaniqua Smith
Gender	Female
Speciality	Social Worker - Clinical
Location	75 Washington St, Fairburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093552143
Provider Enumeration Date: 07/15/2024
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8820521917
Enrollment ID: I20241028003380

Medical Identifiers

Medical identifiers for Mrs Shaniqua Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093552143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW009187 (Georgia)	Primary

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. Mrs Shaniqua Smith allows following entities to bill medicare on her behalf.

Entity Name	Empowerment Resource Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235469875 PECOS PAC ID: 6305266594 Enrollment ID: O20201008001511

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Mrs Shaniqua 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
Mrs Shaniqua Smith, LCSW 75 Washington St, #111, Fairburn, GA 30213-9998 Ph: () -	Mrs Shaniqua Smith, LCSW 75 Washington St, #111, Fairburn, GA 30213-9998 Ph: (470) 485-3587

Reviews and Comments

Social Worker in Fairburn, GA

Mrs. Brittanee Sims, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3227 Bowlin Dr, Fairburn, GA 30213 Phone: 678-668-9340
Timothy Bryant, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5600 Dendy Trce, Fairburn, GA 30213 Phone: 770-990-5489 Fax: 770-629-4725
Ms. Vanetta Donna Della Williams, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7923 Heathmore Drive, Fairburn, GA 30213 Phone: 404-989-8342
Camesha Harp Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2410 Village Green Dr, Fairburn, GA 30213 Phone: 404-368-3384
Thelma Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 453 Woodland Dr, Fairburn, GA 30213 Phone: 770-256-0168
Mrs. Erika Danielle Cuttray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7881 Winkman Dr, Fairburn, GA 30213 Phone: 470-889-9232

Mrs Shaniqua Smith, LCSW - Medicare Clinical Social Worker in Fairburn, GA