Active NPI
Jessica Lepage-Smith, LCSW
- Clinical Social Worker
- Folsom, CA
National Provider Identifier
1831420488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81555
- Practice address
- 1200 Creekside Dr Apt 1113
Folsom, CA 95630-3437 - Phone
- (916) 459-8854
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 080234-1 | NY | |
| Social Worker | 104100000X | MC12964 | ME | |
| Clinical Social Worker | 1041C0700X | LC14012 | ME | |
| Clinical Social Worker | 1041C0700X | 81555 | CA | Primary |
Addresses
Primary practice location
1200 Creekside Dr Apt 1113
Folsom, CA 95630-3437
Mailing address
1200 Creekside Dr Apt 1113
Folsom, CA 95630-3437
Phone (916) 459-8854
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC12964 | ME | MD | Social Worker |
| 080234-1 | NY | MD | Social Worker |
| 81555 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Relationship Elevation and Learning Institute | Current | Accepting new patients |
Locations
101 Parkshore Dr
Ste 100
Folsom, CA 95630
Phone (916) 459-8854
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.
-
- Mental Health Counselor
- Folsom, CA
- NPI 1730889825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1831420488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CREEKSIDE DR APT 1113",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303437",
"telephone_number": "916-459-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CREEKSIDE DR APT 1113",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303437",
"telephone_number": "916-459-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPAGE-SMITH",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "080234-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "MC12964",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC14012",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.