JACQUELYN E SMITH (NPI# 1659701811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659701811 |
| Entity Type | Individual |
| Full Name | JACQUELYN E SMITH |
| Credential | LCSW |
| Practice Address |
2489 Tapo St Unit B Simi Valley CA 93063-2453 |
| Mailing Address |
8430 Winnetka Ave Unit 19 Winnetka CA 91306-1642 |
| Practice Telephone | 8185542600 |
| Mailing Telephone | 8188577146 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
80809 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 95-2633765 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043640162 | Jacquelyn E Smith | Social Worker | 22275 Green Hill Rd Apt 26, Farmington Hills, MI 48335-4379 | 2013-11-27 |
| 1154769131 | Jacquelyn Smith | Internal Medicine | 3430 Newburg Rd Ste 250, Louisville, KY 40218-2458 | 2013-06-12 |
| 1700160835 | Jacquelyn Smith | Physical Therapist | 1663 Victoria Cir, Allentown, PA 18103-6474 | 2011-10-07 |
| 1922572544 | Jacquelyn Aubin Smith | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5714 | 2019-01-16 |
| 1730539495 | Jacquelyn Smith | Occupational Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2016-06-14 |
| 1346625894 | Jacquelyn Lyon Smith | Nurse Practitioner | 2740 Headland Ave, Dothan, AL 36303-1236 | 2015-07-27 |
| 1811314339 | Jacquelyn Smith | Speech-Language Pathologist | 200 Skiles Blvd, West Chester, PA 19382-7321 | 2014-03-21 |
| 1922355031 | Jacquelyn Nicole Smith | Pharmacist | 7 Portland St, Rumford, ME 04276-2050 | 2012-08-08 |
| 1811244817 | Jacquelyn Norry Smith | Social Worker | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2012-08-08 |
| 1346509510 | Jacquelyn J Smith | Psychologist | 9000 W Wisconsin Ave, B510, Milwaukee, WI 53226-4874 | 2012-05-09 |
| Street Address |
2489 TAPO ST UNIT B |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93063-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184186165 | Laurian Elizabeth Phillips | Social Worker | 2489 Tapo St Unit B, Simi Valley, CA 93063-2453 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
| 1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
| 1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
| 1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
| 1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
| Find all providers in zip 93063 | ||||
| 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 |
|---|---|---|---|---|
| 1356869200 | Zhina N/a Vartanian | Social Worker | 2650 Jones Way Ste 24, Simi Valley, CA 93065-1224 | 2017-08-30 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1437537891 | Jennifer Henderson | Social Worker | 1086 Brandon Ave, Simi Valley, CA 93065-4974 | 2015-05-18 |
| 1457760423 | Babitha Ramakrishna | Social Worker | 2654 Vanilla Ln, Simi Valley, CA 93065-1532 | 2014-08-04 |
| 1497033914 | Dinah Hamilton | Social Worker | 2139 Tapo St Ste 227, Simi Valley, CA 93063-3477 | 2011-08-01 |
| 1942460621 | Cynthia M. Speakman | Social Worker | 370 Royal Ave, Simi Valley, CA 93065-4130 | 2008-06-16 |
| 1700079191 | Beth Jakubanis | Social Worker | 1611 E Los Angeles Ave, Simi Valley, CA 93065-2019 | 2007-08-20 |
| 1114124518 | Rachel Leah Benoun | Social Worker | 2919 Estilita Way Unit B, 23388 Mulholland Dr. Mailstop 84, Woodland Hills, Ca. 9, Simi Valley, CA 93063-1677 | 2007-06-28 |
| 1508982901 | Jacqueline Nicole Parodi | Social Worker | 5497 Seneca Pl, Simi Valley, CA 93063-2056 | 2007-03-21 |
| 1922132356 | Doreen Rae Salz | Social Worker | 3855 Alamo St, Suite 2032, Simi Valley, CA 93063-2103 | 2007-03-15 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93063 |
Please comment or provide details below to improve the information on JACQUELYN E SMITH.
| 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.