Individual provider Active NPI

Terri T Smith

  • Clinical Social Worker
  • Hattiesburg, MS
National Provider Identifier
1851272165
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M10089 Issued in MS
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
126255IAMDClinical Social Worker
150114098ILMDClinical Social Worker
33012058AINMDClinical Social Worker
LMSW12914KSMDClinical Social Worker
258784KYMDClinical Social Worker
6801117290MIMDClinical Social Worker
2022035950MOMDClinical Social Worker
M10089MSMDClinical Social Worker
S.2410885OHMDClinical Social Worker
8320TNMDClinical Social Worker
0903004105VAMDClinical Social Worker
134092WIMDClinical 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.

Verify at the official NPI Registry.