Jessica E Smith, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111209 Issued in NY

Practice address

117 Dobbin St Ste 204a&306
Brooklyn, NY 11222-5502

Phone

(347) 255-7637

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1154902617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SEIGEL ST APT 211",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063847",
            "telephone_number": "443-896-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DOBBIN ST STE 204A&306",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225502",
            "telephone_number": "347-255-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "111209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER ID",
            "identifier": "15126441",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "therapynotes.com/app",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant database",
            "address_1": "117 Dobbin St Ste 204A&306",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112225502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Smith
• Jenna Felice Smith, MA, LCAT, MT-BC
• Jennifer Smith, LMSW
• Jennifer Dickerson Smith, MSSW
• Jentre Faith Smith
• Joann Smith
• Joshua Cooper Smith, LMSW
• Julia Emily Smith
• Julie Smith, LCSW
• Kadence Smith

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.