Dorothy S Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C8590 Issued in MS

Practice address

406 Marquis St
Jackson, MS 39206-4345

Phone

(769) 251-3952

NPI assigned

Jun 19, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dorothy.smith.p1@direct.magnoliamedical.nextgenshare.com

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.

• Fitness Clinic Wellness

  • Physical Therapist
  • Jackson, MS
  • NPI 1912352022
  Medicare reassignment NPD
• Heal Thy Self Counseling Services, LLC

  dba Dr. Dorothy Smith, LCSW

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1225626286
  NPD Authorized official
• Heal Thy Self Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgeland, MS
  • NPI 1366397424
  NPD Authorized official
• Heal Thy Self Pediatric Iop PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgeland, MS
  • NPI 1922953082
  NPD Authorized official

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710326194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MARQUIS ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064345",
            "telephone_number": "769-251-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MARQUIS ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064345",
            "telephone_number": "769-251-3952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Highway 80 W",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392097201",
            "country_code": "US",
            "telephone_number": "601-321-2400",
            "fax_number": "601-321-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Highway 80 W",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392097201",
            "country_code": "US",
            "telephone_number": "601-321-2400",
            "fax_number": "601-321-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOROTHY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018209",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Elizabeth Smith, MD
• Clinton R. Smith, M.D.
• Dantwan Shawntel Smith, MD
• Deanna Smith, MSN, APRN, FNP-C
• Deirdre Smith
• Erin J Smith, M.D.
• Felecia Smith
• Gary L Smith, M.D.
• Hailey Blackburn Smith, MS, CCC-SLP
• Iesha Smith, LPC

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.