Individual provider Active NPI

Jean Miller Smith, MSW, LCSW

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1043034226
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017562 Issued in VA
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

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003864 VA Practitioner - Clinical Social Worker 6507386729 Reassigns benefits to 2 organizations

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
Virginia Oak Counseling LLCGroup PAC ID 4981945870, 14 clinicians

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

LicenseStateTypeSpecialty
0904017562VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Nov 17, 2024 Accepting new patients
Virginia Oak Counseling, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Sweetspire Counseling LLC Clinical CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.