Jenna Pemberton Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000007422 Issued in TN

Practice address

2109 Creek TRL
Goodlettsville, TN 37072-7046

Phone

(615) 948-0377

NPI assigned

Dec 28, 2022

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

Other names 1

• Jenna Suzanne Pemberton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Step Up Care of Tennessee LLCGroup PAC ID 5395074728, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Step Up Care of Tennessee LLC

  • Psychologist
  • Memphis, TN
  • NPI 1023660206
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1336852953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CREEK TRL",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370727046",
            "telephone_number": "615-948-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CREEK TRL",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370727046",
            "telephone_number": "615-948-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNA",
        "middle_name": "PEMBERTON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000007422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenna.smith_lcsw@icloud.com",
            "affiliation": "N",
            "address_1": "2109 Creek Trl",
            "city": "Goodlettsville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370727046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "PEMBERTON",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sky Pediatric Dentistry - Goodlettsville PLLC (Sky Pediatric Dentistry - Goodlettsville)
• Smile Solutions by Dr. Joseph Fox
• Amber Smith
• Amy Victoria Oaks Smith, BSN, RN, IBCLC
• Beth Adelle Smith, AUD
• Kristen E Smith, LMFT
• Mary Daniel Smith
• Lorraine Snead, O.D.
• Marc G Soble, M.D.
• Joseph Sofranko, MD

• Clinical Social Worker in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.