Jessica Brown Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17458 Issued in LA

Practice address

109 Yorktown Dr Ste a
Alexandria, LA 71303-3673

Phone

(318) 542-4288

Fax

(318) 704-6201

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Carl Phillips NP Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1033719356
  NPD
• We Care Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1881055507
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1245912708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033673",
            "telephone_number": "318-542-4288",
            "fax_number": "318-704-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033673",
            "telephone_number": "318-542-4288",
            "fax_number": "318-704-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "BROWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "17458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earnest Clement Smith Jr., CERTIFIED LIFE COACH
• Edward Smith, BS
• Eileen Smith
• Frederic W Smith, MD, DMD
• Gary Mark Smith, MD
• Jessica L Smith
• Jessika Smith
• Jolanda L Smith
• Kenya Smith
• Latamra Tiera Smith, NP

• Clinical Social Worker in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.