Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Angela Marie Smith, LISW-S, LICDC, CFRC

Individual provider Clinical Social Worker · NPI 1396381711

MS. Angela Marie Smith, LISW-S, LICDC, CFRC is a Clinical Social Worker in Madison, Ohio. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

15 W Main St
Madison, OH 44057-3125
Phone: (440) 413-3392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3878 Ohio St, Perry, OH 44081-9568 — (440) 413-3392

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2002366 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 161774 (OH)

Record details

NPI number1396381711
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S , LICDC , CFRC
Sole proprietorYes
NPI enumeratedNovember 20, 2019
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Madison