Individual provider Active NPI

Jessica French Smith-O'Connor, LGSW

  • Social Worker
  • Washington, DC
National Provider Identifier
1124618517
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG50083430 Issued in DC
Practice address
502 Kennedy St NW Ste 2-a
Washington, DC 20011-3010
Phone
(202) 743-4884
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 LG50083430 DC Primary

Addresses

Primary practice location

502 Kennedy St NW Ste 2-a
Washington, DC 20011-3010

Mailing address

1238 K St SE
Washington, DC 20003-4114
Phone (631) 681-4114

Other identifiers 1

IdentifierTypeStateIssuer
LG50083430OtherDCDEPARTMENT OF HEALTH GRADUATE SOCIAL WORK LICENSE

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
LG50083430DCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1124618517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 K ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034114",
            "telephone_number": "631-681-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 KENNEDY ST NW STE 2-A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113010",
            "telephone_number": "202-743-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-O'CONNOR",
        "first_name": "JESSICA",
        "middle_name": "FRENCH",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50083430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH GRADUATE SOCIAL WORK LICENSE",
            "identifier": "LG50083430",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.