Active NPI
Terri T Smith
- Clinical Social Worker
- Hattiesburg, MS
National Provider Identifier
1851272165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M10089
- Practice address
- PO Box 17072
Hattiesburg, MS 39404-7072 - Phone
- (601) 408-9928
- NPI assigned
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 134092 | WI | |
| Clinical Social Worker | 1041C0700X | 0903004105 | VA | |
| Clinical Social Worker | 1041C0700X | M10089 | MS | Primary |
| Clinical Social Worker | 1041C0700X | 33012058A | IN | |
| Clinical Social Worker | 1041C0700X | 126255 | IA | |
| Clinical Social Worker | 1041C0700X | LMSW12914 | KS | |
| Clinical Social Worker | 1041C0700X | 258784 | KY | |
| Clinical Social Worker | 1041C0700X | 6801117290 | MI | |
| Clinical Social Worker | 1041C0700X | 150114098 | IL | |
| Clinical Social Worker | 1041C0700X | 2022035950 | MO | |
| Clinical Social Worker | 1041C0700X | S.2410885 | OH | |
| Clinical Social Worker | 1041C0700X | 8320 | TN |
Addresses
Primary practice location
PO Box 17072
Hattiesburg, MS 39404-7072
Mailing address
PO Box 17072
Hattiesburg, MS 39404-7072
Phone (601) 408-9928
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126255 | IA | MD | Clinical Social Worker |
| 150114098 | IL | MD | Clinical Social Worker |
| 33012058A | IN | MD | Clinical Social Worker |
| LMSW12914 | KS | MD | Clinical Social Worker |
| 258784 | KY | MD | Clinical Social Worker |
| 6801117290 | MI | MD | Clinical Social Worker |
| 2022035950 | MO | MD | Clinical Social Worker |
| M10089 | MS | MD | Clinical Social Worker |
| S.2410885 | OH | MD | Clinical Social Worker |
| 8320 | TN | MD | Clinical Social Worker |
| 0903004105 | VA | MD | Clinical Social Worker |
| 134092 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851272165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17072",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394047072",
"telephone_number": "601-408-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 17072",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394047072",
"telephone_number": "601-408-9928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TERRI",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "134092",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0903004105",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "M10089",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "33012058A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "126255",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LMSW12914",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "258784",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801117290",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150114098",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2022035950",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.2410885",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "8320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.