Justin Daniel Smith, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW008907 Issued in GA

Practice address

1551 Jennings Mill Rd Unit 1700B
Watkinsville, GA 30677-7266

Phone

(470) 355-5200

NPI assigned

Dec 31, 2021

Last updated

Dec 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1770244857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 1700B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777266",
            "telephone_number": "470-355-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 1700B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777266",
            "telephone_number": "470-355-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW008907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela A Simmons-Butler, NP
• Joseph Andrew Simon
• Dianne Simpson, MSW
• Billy Vance Sims, LCSW, MHP
• Hulet Smith Jr., O.T.
• Micah Smith, NP
• Tameron Smith, LMSW
• Kayla Grace Snow
• Sarah Oteng Sodokpo, MSW
• Indya Sorrells, RBT

• Social Worker in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.