Mrs Jennifer Scott Smith, LCAS, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dudley, North Carolina. Her current practice location is
140 Quail Drive, Dudley, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 920-1371.
Mrs Jennifer Scott Smith is licensed to practice in North Carolina (license number C007417) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578883203.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Scott Smith |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 140 Quail Drive, Dudley, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578883203
- Provider Enumeration Date: 06/04/2010
- Last Update Date: 09/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517130008
- Enrollment ID: I20111027000990
Medical Identifiers
Medical identifiers for Mrs Jennifer Scott Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578883203 | NPI | - | NPPES |
| 6112172 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | NC-1640 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14740CP (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW023110 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW125709 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 58.01207012070 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC06086200 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9632-C (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12436778-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | C007417 (North Carolina) | 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. Mrs Jennifer Scott Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jennifer Scott Smith, LCAS, LCSW
Po Box 761,
Dudley, NC 28333-0761
Ph: (919) 920-1371 | Mrs Jennifer Scott Smith, LCAS, LCSW
140 Quail Drive,
Dudley, NC 28333-9518
Ph: (919) 920-1371 |
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