Individual provider Active NPI

Jade Nicole Smith, LCSW

  • Clinical Social Worker
  • Midland, TX
National Provider Identifier
1699560870
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103252 Issued in TX
Practice address
401 E Illinois Ave
Midland, TX 79701-4803
Phone
(432) 570-3333
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 103252 TX Primary

Addresses

Primary practice location

401 E Illinois Ave
Midland, TX 79701-4803

Mailing address

401 E Illinois Ave
Midland, TX 79701-4803
Phone (432) 570-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250415001525 TX Practitioner - Clinical Social Worker 5698290443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Faithful Therapy TX CorporationGroup PAC ID 0446778328, 17 clinicians

Practice addresses (Care Compare)

401 E Illinois Ave
Suite 300
Midland, TX 79701-4881
Phone (432) 570-3342

825 Watters Creek Blvd
Suite 250
Allen, TX 75013-3770
Phone (833) 231-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103252TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Apr 1, 2025 Accepting new patients
Faithful Therapy TX Corporation CurrentSince Feb 1, 2026 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Apr 1, 2025 Accepting new patients

Locations

825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 200
Midland, TX 79701
Phone (432) 570-3333

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

600 N Grant Ave
Odessa, TX 79761
Phone (432) 335-8275

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1699560870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ILLINOIS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014803",
            "telephone_number": "432-570-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E ILLINOIS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014803",
            "telephone_number": "432-570-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JADE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.