Jackie M Smith, is a
Social Worker - Clinical based in Fircrest, Washington. Jackie M Smith is licensed to practice in Washington (license number 60336105) and her current practice location is
6512 20th Street Ct W Ste B2, Fircrest, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 468-7899.
NPI number for Jackie M Smith is 1053595660 and her current mailing address is 1942 Crystal Springs Rd W, Tacoma, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053595660.
Healthcare Provider's Profile
Full Name | Jackie M Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6512 20th Street Ct W Ste B2, Fircrest, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053595660
- Provider Enumeration Date: 12/19/2007
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Jackie M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053595660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | RC00055212 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | 60336105 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie M Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackie M Smith, 1942 Crystal Springs Rd W, Tacoma, WA 98466-2910 Ph: (920) 471-3419 | Jackie M Smith, 6512 20th Street Ct W Ste B2, Fircrest, WA 98466-6212 Ph: (253) 468-7899 |
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