Individual provider Active NPI

Jessica Lepage-Smith, LCSW

  • Clinical Social Worker
  • Folsom, CA
National Provider Identifier
1831420488
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81555 Issued in CA
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

Updated by the provider on May 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MC12964MEMDSocial Worker
080234-1NYMDSocial Worker
81555CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.