Jacqueline D. Smallwood, L.C.S.W.-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO49455 Issued in NY

Practice address

37 Harmony Rd
Patterson, NY 12563-2730

Phone

(845) 878-4238

NPI assigned

Nov 4, 2011

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1871870840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HARMONY RD",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632730",
            "telephone_number": "845-878-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HARMONY RD",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632730",
            "telephone_number": "845-878-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "JACQUELINE",
        "middle_name": "D.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO49455",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1623758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyce Ware Poli, MSED.
• Makeeda T Rodriguez
• Danielle Schilpp, DVM
• Joan Bernice Shepherd
• Annmarie Shisler
• Hannah Eunju Son, O.D.
• Town of Patterson
• Debra L Toymil, MS ED./TVI
• Transit Care LLC
• Diane J Tufaro, NP

• Clinical Social Worker in Patterson, NY
• Providers in Patterson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.