Individual provider Active NPI

Jane Smyre, LCSW

  • Clinical Social Worker
  • West Jefferson, NC
National Provider Identifier
1104267624
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P007332 Issued in NC
Practice address
101 E Buck Mountain Rd
West Jefferson, NC 28694-7374
Phone
(336) 877-6137
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X P007332 NC Primary

Addresses

Primary practice location

101 E Buck Mountain Rd
West Jefferson, NC 28694-7374

Mailing address

320 Windy Acres Ridge Rd
Fleetwood, NC 28626-9693
Phone (133) 687-7613

Other identifiers 1

IdentifierTypeStateIssuer
1104267624MedicaidNC

Other names 1

  • Ms. Jane E Smyre Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20161222000472 NC Practitioner - Clinical Social Worker 4082995451 Reassigns benefits to 1 organization
Practice locations: West Jefferson, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 E Buck Mountain Rd
West Jefferson, NC 28694-7374
Phone (336) 877-6137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P007332NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. Clinical CurrentSince May 22, 2015 Accepting new patients
Charlotte Center for Balanced Living, P.a. PastSince Dec 24, 2023 Accepting new patients

Locations

132 Poplar Grove Connector
Ste B
Boone, NC 28607
Phone (828) 264-8759

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1104267624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WINDY ACRES RIDGE RD",
            "city": "FLEETWOOD",
            "state": "NC",
            "postal_code": "286269693",
            "telephone_number": "133-687-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BUCK MOUNTAIN RD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286947374",
            "telephone_number": "336-877-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYRE",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104267624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SMYRE",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Jefferson, NC

Sources for this page

Verify at the official NPI Registry.