Active NPI
Jalyn Antoinette Smith
- Social Worker
- Homewood, IL
National Provider Identifier
1710835863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150115586
- Practice address
- 18161 Morris Ave Ste 102
Homewood, IL 60430-2191 - Phone
- (708) 349-5433
- NPI assigned
- Mar 16, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150115586 | IL | Primary |
Addresses
Primary practice location
18161 Morris Ave Ste 102
Homewood, IL 60430-2191
Mailing address
1043 Campbell Ave
Chicago Heights, IL 60411-2506
Phone (708) 539-2718
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150115586 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety and Stress Center, P.C. | 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.
-
- Cognitive & Behavioral Psychologist
- Homewood, IL
- NPI 1568513034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1710835863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 CAMPBELL AVE",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604112506",
"telephone_number": "708-539-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18161 MORRIS AVE STE 102",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302191",
"telephone_number": "708-349-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JALYN",
"middle_name": "ANTOINETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150115586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.