Jennifer Kate Smith, LCSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

300 W Broadway St Ste 2
Missoula, MT 59802-4126

Phone

(406) 370-5162

NPI assigned

Aug 18, 2019

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

Other names 1

• Kate Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Western Montana Mental Health Center

  • Substance Abuse Rehabilitation Facility
  • Missoula, MT
  • NPI 1548659113

  Clinical

  NPD (past)

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1295381994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8011",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598078011",
            "telephone_number": "406-370-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024126",
            "telephone_number": "406-370-5162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598011727",
            "country_code": "US",
            "telephone_number": "406-532-9900",
            "fax_number": "406-532-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "KATE",
        "credential": "LCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "38104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "SMITH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Edith G Smith, PT
• Emily Beatrice Smith, MS, RD, LN
• George J. Walker Smith, LCPC MHP
• Gregory Allen Smith, M.D.
• Jeannine G Smith, DC
• Kyle Charles Smith, D.O.
• Leah Nicole Smith, MAT, ATC, CSCS
• Marianne Smith, LCPC
• Nicholas Smith, D.C
• Paul G Smith, DO

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.