Junior Smith, B.A.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

104100000X Issued in FL

Practice address

1701 SW 16TH Ave BLDG B
Gainesville, FL 32608-1153

Phone

(786) 590-8000

NPI assigned

Jan 27, 2022

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1871246132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SW 16TH AVE BLDG B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081153",
            "telephone_number": "786-590-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SW 16TH AVE BLDG B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081153",
            "telephone_number": "786-590-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUNIOR",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "104100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Smith, LICSW, LCSW
• Jestine Brown Smith
• Joedy Smith, CRTT
• Jordan Matthews Smith, MD
• Julia Smith
• Kathy Pyle Smith, ARNP
• Kayla Marie Smith, PHARMACIST (PHARMD)
• Kayshea Smith, LPN
• Kechedryi Smith
• Kerry Lynn Smith

• Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.