Active NPI
Joy Marie Smith, LISW
- Clinical Social Worker
- Sac, IA
National Provider Identifier
1376892943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04197
- Practice address
- 618 Park Ave
Sac, IA 50583-2430 - Phone
- (712) 662-3222
- Fax
- (712) 662-3329
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04197 | IA | Primary |
Addresses
Primary practice location
618 Park Ave
Sac, IA 50583-2430
Mailing address
618 Park Ave
Sac, IA 50583-2430
Phone (712) 662-3222
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1376892943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 PARK AVE",
"city": "SAC",
"state": "IA",
"postal_code": "505832430",
"telephone_number": "712-662-3222",
"fax_number": "712-662-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 PARK AVE",
"city": "SAC",
"state": "IA",
"postal_code": "505832430",
"telephone_number": "712-662-3222",
"fax_number": "712-662-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "04197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.