Individual provider Active NPI

Jennifer Dawn Smith, LCSW

  • Clinical Social Worker
  • Garner, NC
National Provider Identifier
1760636120
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006934 Issued in NC
Practice address
1002 Vandora Springs Rd Ste 115
Garner, NC 27529-3546
Phone
(984) 584-8833
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 C006934 NC Primary

Addresses

Primary practice location

1002 Vandora Springs Rd Ste 115
Garner, NC 27529-3546

Mailing address

1002 Vandora Springs Rd Ste 115
Garner, NC 27529-3546
Phone (984) 584-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190312003678 NC Practitioner - Clinical Social Worker 8224258249 Practice locations: Garner, NC; Clayton, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1002 Vandora Springs Rd
Suite 115
Garner, NC 27529-3546
Phone (919) 722-9110

324 Annandale Dr
Clayton, NC 27520-3656
Phone (919) 722-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1760636120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 VANDORA SPRINGS RD STE 115",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293546",
            "telephone_number": "984-584-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 VANDORA SPRINGS RD STE 115",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293546",
            "telephone_number": "984-584-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.