Jennifer N Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

250 Old Highway 31 W
Cottontown, TN 37048-4639

Phone

(772) 579-6752

NPI assigned

Oct 14, 2010

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer N Jenkins Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerstone of Tennesse Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, NC
  • NPI 1609482439
  Medicare reassignment NPD
• Code 1 Wellness

  • Clinical Social Worker
  • Archie, MO
  • NPI 1407475486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1013227818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD HIGHWAY 31 W",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370484639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD HIGHWAY 31 W",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370484639",
            "telephone_number": "772-579-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JENKINS",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marilyn C. McLaughlin, OTR
• Cynthia Jill Morris, OTR
• N2 Sleep
• Stephen Parker, PTA
• Shannon Rachelle Smajda, CPM
• Southern Expressions Therapy Company PLLC
• Neva Joyce Sullins, OTRL
• Amy Beth Thomas, SLP
• Emily Vazquez, RDN
• Pamela D Williams

• Clinical Social Worker in Cottontown, TN
• Providers in Cottontown, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.