Jessica Johnson Smith, MSW, LCSW, LCAS, CSI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005724 Issued in NC

Practice address

205 Plaza Dr Ste D
Greenville, NC 27858-6752

Phone

(252) 758-1300

Fax

(252) 758-0015

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridging the Gap, LLC

  • Mental Health Counselor
  • Greenville, NC
  • NPI 1578612370

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1639360571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 PARK WEST DR APT 13",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347999",
            "telephone_number": "252-258-8281",
            "fax_number": "252-258-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PLAZA DR STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586752",
            "telephone_number": "252-758-1300",
            "fax_number": "252-758-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCAS, CSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn R Smith, PA-C
• Jada Breeze Smith
• Jalexys Smith
• Janice Carol Smith, MS, LPC, LCAS
• Jennifer Carter Smith, OTR/L
• Julie Smith
• Kasey Smith
• Keeyaria Tyanna Smith
• Kirsten Tanye Smith, LCSW
• Ladoris Smith

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.