Dorothy Jackson Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011386 Issued in VA

Practice address

54 E Lee St
Warrenton, VA 20186-3325

Phone

(540) 347-0613

NPI assigned

Dec 6, 2019

Last updated

Dec 6, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellness Arts Counseling LLC

  • Clinical Social Worker
  • Centreville, VA
  • NPI 1164058111
  NPD Authorized official
• Fauquier Counseling Center

  • Counselor
  • Warrenton, VA
  • NPI 1528169430
  NPD (past)

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1043857204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 BLANTYRE RD",
            "city": "BROAD RUN",
            "state": "VA",
            "postal_code": "201371817",
            "telephone_number": "540-219-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E LEE ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863325",
            "telephone_number": "540-347-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOROTHY",
        "middle_name": "JACKSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisu Physiotherapy PLLC
• Nasser A Sitta, MD
• Skin Deep Concierge Medicine LLC
• Martha Skinker, LCSW
• SMH Holdings Inc (FirstLight Home Care of Warrenton)
• Douglas Brian Smith Jr., BS DC
• Douglas G Smith, MD
• James Austin Smith Jr.
• Kelley Ann Smith, MA
• Robert T Smith Jr., MD

• Clinical Social Worker in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.