Joel Chison Smith, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00942456 Issued in WV

Practice address

855 Jakes Run Rd
Core, WV 26541-7201

Phone

(304) 276-9955

NPI assigned

Oct 31, 2012

Last updated

Oct 31, 2012By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1407100373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 JAKES RUN RD",
            "city": "CORE",
            "state": "WV",
            "postal_code": "265417201",
            "telephone_number": "304-276-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 JAKES RUN RD",
            "city": "CORE",
            "state": "WV",
            "postal_code": "265417201",
            "telephone_number": "304-276-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOEL",
        "middle_name": "CHISON",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Health Care, PLL
• Sherry Cumberledge
• Ashley Emrick
• Scott Hendricks
• Kay Bowie Kelly, NURSE PRACTITIONER
• Shannon Starsick
• Carla Denise Swanson
• Lisa Dawn Vandegrift
• Rita Watson
• Shawna Wood

• Clinical Social Worker in Core, WV
• Providers in Core, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.