Jasmine R Smith, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011476 Issued in NC

Practice address

5 Centerview Dr Ste 101
Greensboro, NC 27407-3709

Phone

(336) 907-7819

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1871016303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 GOLDEN GATE DR APT F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054340",
            "telephone_number": "910-584-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERVIEW DR STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073709",
            "telephone_number": "336-907-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASMINE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fowler Richards Smith, NP
• Gregory E. Smith, MD
• Hannah Lee Smith
• Henry W. B. Smith III, M.D.
• Ilysia Smith, RBT
• Jeff Smith, CPO
• Jennifer Pizzicara Smith, CRNA
• John Randolph Smith, M.D.
• Jordan D Smith, PHARMD.
• Joshua Christian Smith, AGACNP

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.