Jackie M Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60336105 Issued in WA

Practice address

6512 20TH Street CT W Ste B2
Fircrest, WA 98466-6212

Phone

(253) 468-7899

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Touchpoint Counseling, PLLC

  • Counselor
  • Gig Harbor, WA
  • NPI 1639743263
  NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053595660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 CRYSTAL SPRINGS RD W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984662910",
            "telephone_number": "920-471-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 20TH STREET CT W STE B2",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666212",
            "telephone_number": "253-468-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5224 Olympic Dr NW",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351790",
            "country_code": "US",
            "telephone_number": "253-468-7899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 E Pioneer Ave",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723265",
            "country_code": "US",
            "telephone_number": "253-697-8548",
            "fax_number": "253-697-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACKIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00055212",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60336105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malgorzata Maria Skarzynska, M.D.
• Small Family Chiropractic
• Kevin M Small, D.C.
• Ashley Smith, MA
• Dennis E Smith, DC
• Renee Alicia Snyder, L.M.P.
• South Hill Family Counseling, LLC
• Spencer Garlick Optometry, PLLC
• Cecile F Staples, L.M.T.
• Sue Mary Stevens, MSW

• All providers in Fircrest, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.