Jamie Shea Smith, LCSW, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25572 Issued in MD

Practice address

6508 Deer Pointe Dr Ste 4C
Salisbury, MD 21804-1668

Phone

(410) 742-6016

Fax

(410) 742-6014

NPI assigned

Mar 26, 2017

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Personal Wellness CenterGroup PAC ID 7315184777, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• The Personal Wellness Center

  • Mental Health Counselor
  • Salisbury, MD
  • NPI 1093050890

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Maryland Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1588379739

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1992236491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 DEER POINTE DR STE 4C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041668",
            "telephone_number": "410-742-6016",
            "fax_number": "410-742-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 DEER POINTE DR STE 4C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041668",
            "telephone_number": "410-742-6016",
            "fax_number": "410-742-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne J Smith, MD
• Gregory Wilkinson Smith, PA-C
• Helen F Smith, LCSW-C
• Holly Ann Smith, PTA
• Jaclyn Grace Smith, DPT
• Jasmine Smith
• Joan Smith, D.O.
• Katherine Elizabeth Smith
• Rosemarie Smith
• Sharnell S Smith, M.D.

• Clinical Social Worker in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.