Jennifer Elizabeth Peak-Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116430 Issued in MA

Practice address

296 N Main St
Ste 20
East Longmeadow, MA 01028-1866

Phone

(413) 525-5080

Fax

(413) 525-5070

NPI assigned

Aug 19, 2013

Last updated

Aug 19, 2013By 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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1336572809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MOUNTAIN RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951723",
            "telephone_number": "413-279-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 N MAIN ST",
            "address_2": "STE 20",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281866",
            "telephone_number": "413-525-5080",
            "fax_number": "413-525-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK-SMITH",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malay T Parekh, DDS
• Parent Co Inc (Occu-Health)
• Parker Senior Care, LLC (The Reserve at East Longmeadow)
• Patrick Dermesropian, PLLC
• Nancy Paulides, BSN, M.ED.,RN
• Pediatric Services of Springfield, Inc.
• Performance Rehabilitation of Western New England LLC (Performance Rehabilitation PC)
• Amanda Pfaffenbach
• Jennifer Pierce
• Kathleen D. Pion, C.P.N.P.

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.