Jennifer Stolworthy Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

991 Parallel Dr. Ste. B
County of Lake, Mental Health
Lakeport, CA 95453

Phone

(707) 263-4338

NPI assigned

May 20, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• County of Lake

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lower Lake, CA
  • NPI 1578861761
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1992024657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 PARALLEL DR. STE. B",
            "address_2": "COUNTY OF LAKE, MENTAL HEALTH",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "95453",
            "telephone_number": "707-263-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 PARALLEL DR. STE. B",
            "address_2": "COUNTY OF LAKE, MENTAL HEALTH",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "95453",
            "telephone_number": "707-263-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "STOLWORTHY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Dias Roco Silva
• Dan Sleeth
• Sheldon King Sloan, PA-C
• Monnie Marie Smevold
• Erik Kristopher Smith, PA-C
• Amanda L Smithers, PA-C
• Jacquline Gail Smythe, MFC 43231
• Nardia Sokol, DPM
• Hailey Brooke Sommerfeld
• Beverly A Southerland, P.A.

• Case Manager/Care Coordinator in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.