REBECCA K SMITH (NPI# 1174836662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174836662 |
| Entity Type | Individual |
| Full Name | REBECCA K SMITH |
| Credential | LCSW |
| Practice Address |
1484 Lakeside Drive Jackson KY 41339-6555 |
| Mailing Address |
Po Box 690 Beattyville KY 41311-0690 |
| Practice Telephone | 6066669950 |
| Practice Fax Number | 6066669136 |
| Mailing Telephone | 6064640151 |
| Mailing Fax Number | 6064640152 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
253299 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LCSW LICENSURE | 253299 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106738 | Rebecca E Smith | Nurse Practitioner | 8900 30 Mile Rd, Washington, MI 48095-1911 | 2019-10-21 |
| 1528600681 | Rebecca Smith | Nurse Practitioner | 1668 W Liberty Rd, Atoka, OK 74525-1703 | 2019-10-10 |
| 1942855762 | Rebecca Smith | Occupational Therapist | 7103 Terry Dr, Knoxville, TN 37924-2359 | 2019-08-08 |
| 1780157503 | Rebecca Smith | Counselor | 3415 Saint Paul Ave, Minneapolis, MN 55416-4342 | 2019-01-03 |
| 1578042370 | Rebecca Smith | Occupational Therapist | 7621 Espina Dr, Austin, TX 78739-1938 | 2018-08-13 |
| 1053815647 | Rebecca Smith | Licensed Vocational Nurse | 658 County Road 319, Abilene, TX 79606-4726 | 2018-03-20 |
| 1740708643 | Rebecca L Smith | Acupuncturist | 750 Md Rt 3 S Ste 8, Gambrills, MD 21054-1306 | 2017-08-31 |
| 1992256200 | Rebecca Anne Elliott Smith | Psychologist | 2738 General Pershing Street, New Orleans, LA 70115 | 2016-10-21 |
| 1295139392 | Rebecca Smith | Massage Therapist | 123 Fenimore St, Brooklyn, NY 11225-5368 | 2014-10-17 |
| 1083027171 | Rebecca Smith | Technician, Other | 505 E Edgewood Blvd Apt 314, Lansing, MI 48911-5988 | 2014-06-05 |
| Street Address |
1484 LAKESIDE DRIVE |
| City | JACKSON |
| State | KY |
| Zip Code | 41339-6555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739413 | Bridget Christina Turner | Social Worker | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2005-09-02 |
| 1124488903 | Beverly Dawn Ellis | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2016-03-07 |
| 1871980003 | Brittany Moore Fugate | Internal Medicine | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2015-04-27 |
| 1730585035 | Samantha Sharron Lewis | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2014-11-13 |
| 1477818896 | Allison Michelle Manning | Nurse Practitioner | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2012-07-11 |
| 1457631780 | Jenny Faye Mullins | Family Medicine | 1484 Lakeside Drive, Jhi Breathitt County Family Health Center, Jackson, KY 41339-6555 | 2011-08-17 |
| 1376631283 | Derrick Jack Hamilton | Internal Medicine | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2006-10-10 |
| 1891891388 | Edgar A D Mendoza | Pediatrics | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2006-09-15 |
| 1467417691 | Juniper Health Inc | Dentist | 1484 Lakeside Drive, Jackson, KY 41339-7370 | 2006-04-19 |
| 1477540086 | Kimerli Plumb-moore | Pediatrics | 1484 Lakeside Drive, Jackson, KY 41339-6555 | 2005-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1336763135 | Jill Elaine Beattie Green | Occupational Therapist | 100 Ky-15, Jackson, KY 41339 | 2020-06-08 |
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1144797754 | Visionary Rehabilitation Services, LLC | Speech-Language Pathologist | 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 | 2018-11-01 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| 1508225996 | Jessica Williams | Pharmacist | 842 Highway 15 N, Jackson, KY 41339 | 2016-02-15 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1265784045 | Jonathan Charles Morris | Physical Therapist | 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 | 2012-10-04 |
| 1649539958 | Henry Price Sewell IIi IIi | Family Medicine | 170 Picnic Hill Rd, Jackson, KY 41339 | 2012-05-07 |
| Find all providers in zip 41339 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.