Kaydian Lee Smoot, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5978C Issued in AL

Practice address

15 Longwood PL
Jasper, AL 35504-7231

Phone

(205) 512-1069

Fax

(205) 512-1069

NPI assigned

Feb 28, 2024

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

Other names 1

• Miss Kaydian Lee Jordan Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capstone Health

  • Federally Qualified Health Center (FQHC)
  • Parrish, AL
  • NPI 1821043837
  Medicare reassignment NPD
• Capstone Health

  • Federally Qualified Health Center (FQHC)
  • Carbon Hill, AL
  • NPI 1871365569
  NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104683952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LONGWOOD PL",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047231",
            "telephone_number": "205-512-1069",
            "fax_number": "205-512-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LONGWOOD PL",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047231",
            "telephone_number": "205-512-1069",
            "fax_number": "205-512-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "KAYDIAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "5861G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5978C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYDIAN",
            "last_name": "JORDAN",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judson Wayne Smith, M.D.
• Lisa G Smith
• Pamela D Smith, ED.D.
• Sheryl Lynn Smith, CRNA
• Victoria Eileen Smith, MD
• Smothers Medical LLC
• Ebony Snead, MS
• Sound Solutions LLC
• Southeast Cancer Network, Inc
• Southeast Hospice Network, LLC

• Clinical Social Worker in Jasper, AL
• Providers in Jasper, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.