Jennifer M Smith, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076568-1 Issued in NY

Practice address

3 Hatfield Lane -
Suite 1
Goshen, NY 10924-6732

Phone

(845) 291-7480

Fax

(845) 291-3785

NPI assigned

Sep 25, 2014

Sex

Female

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)

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.

• Valley Behavioral Medicine, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goshen, NY
  • NPI 1881602852
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1659773398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HATFIELD LANE SUITE 1",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "10924",
            "telephone_number": "845-291-7480",
            "fax_number": "845-291-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HATFIELD LANE -",
            "address_2": "SUITE 1",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246732",
            "telephone_number": "845-291-7480",
            "fax_number": "845-291-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076568-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Slyfield, MA, ED.
• Small Steps Upwards Inc
• Small Wonders S.L.P,, P.C.
• Brittany Smith
• Charles J Smith, MD
• Lesia Sofia Snihura
• Sung J Sohn, MD
• Michelle Robin Solimando
• Jeanne Sue Son, MD
• Morgan Sorge

• Clinical Social Worker in Goshen, NY
• Providers in Goshen, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.