Active NPI
Tomais Jed Smith, LMSW
- Clinical Social Worker
- Twin Falls, ID
National Provider Identifier
1093056368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-31957
- Practice address
- 430 Falls Ave Ste 100
Twin Falls, ID 83301-3320 - Phone
- (208) 736-7090
- Fax
- (208) 736-7089
- NPI assigned
- Mar 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 | LMSW-31957 | ID | Primary |
Addresses
Primary practice location
430 Falls Ave Ste 100
Twin Falls, ID 83301-3320
Mailing address
430 Falls Ave Ste 100
Twin Falls, ID 83301-3320
Phone (208) 736-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-31957 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Crosspointe Mental Health, LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- tomaissmith@tdh.allscriptsdirect.net
Organizations & group practices 2
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": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1093056368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 FALLS AVE STE 100",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013320",
"telephone_number": "208-736-7090",
"fax_number": "208-736-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 FALLS AVE STE 100",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013320",
"telephone_number": "208-736-7090",
"fax_number": "208-736-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TOMAIS",
"middle_name": "JED",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW-31957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.