Jenna Rachelle Wright Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114458 Issued in MA

Practice address

53 Marion Rd
Wareham, MA 02571-1406

Phone

(508) 295-8622

NPI assigned

Jul 27, 2006

Last updated

Nov 4, 2018By 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

Other names 1

• Ms. Jenna Wright Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541289600000",
    "number": "1902810930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MARION RD",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711406",
            "telephone_number": "508-295-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MARION RD",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711406",
            "telephone_number": "508-295-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNA",
        "middle_name": "RACHELLE WRIGHT",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "SMITH",
            "middle_name": "WRIGHT",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alyssa Lee Silva
• Pamela Silver
• Katelyn Silvoy, MSW
• Donna Simmons
• Ciara Smith
• Kelly Smith
• Martha Smith, ANP-C
• So .Shore Mental Health
• Soulistic Solutions Services Inc
• Beatriz R Sousa

• Clinical Social Worker in Wareham, MA
• Providers in Wareham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; 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.