Active NPI
Jean Miller Smith, MSW, LCSW
- Clinical Social Worker
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904017562
- Practice address
- 312 E Market St
Leesburg, VA 20176-4100 - Phone
- (302) 897-2528
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904017562 | VA | Primary |
Addresses
Primary practice location
312 E Market St
Leesburg, VA 20176-4100
Mailing address
47561 Anchorage Cir
Sterling, VA 20165-4716
Phone (302) 897-2528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
312 E Market St
Suite F
Leesburg, VA 20176-4173
Phone (703) 493-0467
50 Catoctin Cir NE
Leesburg, VA 20176-3101
Phone (571) 252-9470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904017562 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Rivers Counseling LLC | Current | Accepting new patients | |
| Virginia Oak Counseling, LLC | Clinical | Current | Accepting new patients |
| Sweetspire Counseling LLC | Clinical | Current | Accepting new patients |
Locations
312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176
50 Catoctin Cir NE
Leesburg, VA 20176
Phone (571) 252-9470
312 E Market St
Leesburg, VA 20176
Phone (302) 897-2528
50 Catoctin Cir NE
Ste 101
Leesburg, VA 20176
Phone (512) 710-5143
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Leesburg, VA
- NPI 1811879679
-
- Clinical Social Worker
- Leesburg, VA
- NPI 1982161238
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Charles Town, WV
- NPI 1508137969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1043034226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47561 ANCHORAGE CIR",
"city": "STERLING",
"state": "VA",
"postal_code": "201654716",
"telephone_number": "302-897-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E MARKET ST",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764100",
"telephone_number": "302-897-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEAN",
"middle_name": "MILLER",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904017562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.