Imani Smallwood, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06636200 Issued in NJ

Practice address

201 Montgomery St Ste 2
Jersey City, NJ 07302-5052

Phone

(201) 446-9206

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Hope and Renewal Inc

  • Professional Counselor
  • Jersey City, NJ
  • NPI 1689263857

  Clinical

  NPD

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1902478837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONTGOMERY ST STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025052",
            "telephone_number": "201-446-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MONTGOMERY ST STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025052",
            "telephone_number": "201-446-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "IMANI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06636200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLM Pharmacy Inc (Mastrolia Pharmacy)
• Ashley Sloan, LCSW
• Andrzej Slugocki, PT, DPT
• Small Talk Pediatric Speech Therapy PSC,PC
• Chinyere Small
• Smart Choice Solutions LLC
• Hope Leila Smart, LSW
• Smeeta Medical Associates, P.C.
• Smile Dental Spa PC
• Smile With Style LLC

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.