Jodi Lynn Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19128 Issued in CA

Practice address

201 W 4TH St Ste 201
Claremont, CA 91711-4707

Phone

(909) 213-0211

NPI assigned

Apr 9, 2007

Last updated

Apr 5, 2022By 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 1

Addresses

Other identifiers 1

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1902929250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 4TH ST STE 201",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114707",
            "telephone_number": "909-213-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 4TH ST STE 201",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114707",
            "telephone_number": "909-213-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902929250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith and Bellows Dental Practice
• Amy Annmarie Smith
• Beverly Rose Smith
• Brian D. Smith, D.D.S.
• Daniel Stephen Smith, PHD
• Jana Smolenski
• Jonathan Patrick Snapp, ATC
• Rebekah So
• Myra Sohn, RPH
• Sung Sohn, LAC

• Clinical Social Worker in Claremont, CA
• Providers in Claremont, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.