Individual provider Active NPI

Josselyn May Smith, LMSW

  • Social Worker
  • Twin Falls, ID
National Provider Identifier
1124601893
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-44819 Issued in ID
Practice address
2647 Kimberly Rd
Twin Falls, ID 83301-7976
Phone
(208) 734-1281
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-44819 ID Primary

Addresses

Primary practice location

2647 Kimberly Rd
Twin Falls, ID 83301-7976

Mailing address

162 Falls Ave W Apt E303
Twin Falls, ID 83301-3994
Phone (208) 280-8118

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-44819IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Social Worker Past Accepting new patients
County of Camas Past Accepting new patients
A Chance 4 Change Clinical PastSince May 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: josselyn.smith.p1@direct.fhsid.nextgenshare.com

Organizations & group practices 3

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1124601893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 FALLS AVE W APT E303",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013994",
            "telephone_number": "208-280-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 KIMBERLY RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017976",
            "telephone_number": "208-734-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSSELYN",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-44819",
            "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 Sep 9, 2024; 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.