Active NPI
Jessica Lyn Smith, LMSW
- Social Worker
- Orange, TX
National Provider Identifier
1831865591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 6385 Chasse KNL
Orange, TX 77632-1507 - Phone
- (919) 900-0373
- NPI assigned
- Aug 20, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | TX | Primary |
Addresses
Primary practice location
6385 Chasse KNL
Orange, TX 77632-1507
Mailing address
6385 Chasse KNL
Orange, TX 77632-1507
Phone (919) 900-0373
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1831865591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 CHASSE KNL",
"city": "ORANGE",
"state": "TX",
"postal_code": "776321507",
"telephone_number": "919-900-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 CHASSE KNL",
"city": "ORANGE",
"state": "TX",
"postal_code": "776321507",
"telephone_number": "919-900-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JESSICA",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.