Active NPI
Jatia Shaquala Smith, MSW
- Counselor
- Anderson, SC
National Provider Identifier
1619460342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 226 McGee Rd
Anderson, SC 29625-2104 - Phone
- (864) 260-4168
- Fax
- (864) 261-7543
- NPI assigned
- Jun 7, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
226 McGee Rd
Anderson, SC 29625-2104
Mailing address
226 McGee Rd
Anderson, SC 29625-2104
Phone (864) 260-4168
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Oconee Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Anderson, SC
- NPI 1649278565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1619460342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 MCGEE RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252104",
"telephone_number": "864-260-4168",
"fax_number": "864-261-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MCGEE RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252104",
"telephone_number": "864-260-4168",
"fax_number": "864-261-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JATIA",
"middle_name": "SHAQUALA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.