Individual provider Active NPI

Jenette Renee Karger Smith, LISW-S

  • Clinical Social Worker
  • Wooster, OH
National Provider Identifier
1518301415
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1451324S Issued in OH
Practice address
2148 Eagle Pass
Wooster, OH 44691-5356
Phone
(330) 345-8970
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I1451324S OH Primary

Addresses

Primary practice location

2148 Eagle Pass
Wooster, OH 44691-5356

Mailing address

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

Other practice location 1

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

Other practice location 2

1590 Crestview Dr
Ashland, OH 44805-3560
Phone (419) 289-0970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20200203002568 OH Practitioner - Clinical Social Worker 9830525245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Children'S Home of OhioGroup PAC ID 3476819996, 7 clinicians

Practice addresses (Care Compare)

2685 Armstrong Rd
Wooster, OH 44691-9041
Phone (330) 345-7949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1451324SOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network CurrentSince Jan 1, 2020 Accepting new patients
Christian Children'S Home of Ohio CurrentSince Sep 1, 2020 Accepting new patients
Christian Children'S Home of Ohio CurrentSince Jun 22, 2021 Accepting new patients

Locations

1590 Crestview Dr
Ashland, OH 44805
Phone (419) 289-0970

3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3875

2685 Armstrong Rd
Wooster, OH 44691
Phone (330) 345-7949

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cchoo/r4/

Organizations & group practices 3

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1518301415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ARMSTRONG RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919041",
            "telephone_number": "330-345-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 EAGLE PASS",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915356",
            "telephone_number": "330-345-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Armstrong Rd",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446919041",
            "country_code": "US",
            "telephone_number": "330-345-7949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OH",
            "postal_code": "448053560",
            "country_code": "US",
            "telephone_number": "419-289-0970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENETTE",
        "middle_name": "RENEE KARGER",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1451324S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.