Jan Iris Smith, LCSW,BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05182 Issued in MD

Practice address

6502 78TH St
Cabin John, MD 20818-1309

Phone

(301) 320-4825

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 30, 2016 through Aug 30, 2026

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295806594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 78TH ST",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181309",
            "telephone_number": "301-320-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 78TH ST",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208181309",
            "telephone_number": "301-320-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAN",
        "middle_name": "IRIS",
        "name_prefix": "Ms.",
        "credential": "LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysa Romano, LPC
• Ethel Doris Sayles
• Rivon Shaneyfelt
• Barry Shapiro, LMSW
• Reiko Shingu, LCSWC
• Bruce Lee M. Tanenbaum, MD
• Anne B. Thompson, PH.D.
• Nina Tracy
• Terra Tuono-Shell, LCPC
• Katherine Voglmayr

• Clinical Social Worker in Cabin John, MD
• Providers in Cabin John, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.