Individual provider Active NPI

Jennifer Smetana, LCSW

  • Clinical Social Worker
  • Dingmans Ferry, PA
National Provider Identifier
1124435201
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018211 Issued in PA
Practice address
1869 Route 739
Suite 4
Dingmans Ferry, PA 18328-3409
Phone
(570) 828-7050
Fax
(610) 672-9495
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018211 PA Primary

Addresses

Primary practice location

1869 Route 739
Suite 4
Dingmans Ferry, PA 18328-3409

Mailing address

1869 Route 739
Suite 4
Dingmans Ferry, PA 18328-3409
Phone (570) 828-7050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Clinical PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1124435201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 ROUTE 739",
            "address_2": "SUITE 4",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183283409",
            "telephone_number": "570-828-7050",
            "fax_number": "610-672-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 ROUTE 739",
            "address_2": "SUITE 4",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183283409",
            "telephone_number": "570-828-7050",
            "fax_number": "610-672-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETANA",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dingmans Ferry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.