Mrs Jessica Johnson Smith, MSW, LCSW, LCAS, CSI is a
Social Worker - Clinical based in Greenville, North Carolina. Mrs Jessica Johnson Smith is licensed to practice in North Carolina (license number C005724) and her current practice location is
205 Plaza Dr Ste D, Greenville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 758-1300.
NPI number for Mrs Jessica Johnson Smith is 1639360571 and her current mailing address is 1288 Park West Dr Apt 13, Greenville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639360571.
Healthcare Provider's Profile
| Full Name | Mrs Jessica Johnson Smith |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 205 Plaza Dr Ste D, Greenville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639360571
- Provider Enumeration Date: 08/06/2007
- Last Update Date: 08/01/2011
Medical Identifiers
Medical identifiers for Mrs Jessica Johnson Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639360571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1104 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C005724 (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 Jessica Johnson 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 |
|---|
Mrs Jessica Johnson Smith, MSW, LCSW, LCAS, CSI
1288 Park West Dr Apt 13,
Greenville, NC 27834-7999
Ph: (252) 258-8281 | Mrs Jessica Johnson Smith, MSW, LCSW, LCAS, CSI
205 Plaza Dr Ste D,
Greenville, NC 27858-6752
Ph: (252) 758-1300 |
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