Individual provider Active NPI

Jonathan James Smith, M.S.W.

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1295874683
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1016656 Issued in MA
Practice address
100 Medway St
Providence, RI 02906-4402
Phone
(401) 421-4100
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02417 RI
Clinical Social Worker 1041C0700X 1016656 MA Primary
Clinical Social Worker 1041C0700X LC25131 ME

Addresses

Primary practice location

100 Medway St
Providence, RI 02906-4402

Mailing address

55 Bayberry Hill Rd
Attleboro, MA 02703-5801
Phone (508) 922-5851

Other practice location 1

1087 Warwick Ave
Warwick, RI 02888-3545
Phone (401) 383-2200

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
1016656MAMDClinical Social Worker
LC25131MEMDClinical Social Worker
ISW02417RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Day One Clinical PastSince Jul 15, 1998 Accepting new patients
The Home for Little Wanderers Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1295874683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BAYBERRY HILL RD",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035801",
            "telephone_number": "508-922-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064402",
            "telephone_number": "401-421-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1087 Warwick Ave",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883545",
            "country_code": "US",
            "telephone_number": "401-383-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02417",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016656",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.