CHANCHEZ SMITH (NPI# 1710592985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710592985 |
| Entity Type | Individual |
| Full Name | CHANCHEZ SMITH |
| Credential | LMSW |
| Practice Address |
3450 Highway 80 W Jackson MS 39209-7201 |
| Practice Telephone | 6013212400 |
| Mailing Telephone | 6013212400 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M9485 | MS | Behavioral Health & Social Service Providers |
| Street Address |
3450 HIGHWAY 80 W |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468468 | Jeffrey Asgar Ali | Psychiatry & Neurology | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2006-06-22 |
| 1649878216 | Donna Brown | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1831797471 | Tecola Bradley | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1093313660 | Detrick Johnson | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1902404460 | Brittany C Bloodsaw | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1497353957 | Lakeshia L Sutton | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1134727605 | Maya D Dezell | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1275131740 | Karla Banks | Social Worker | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1881292340 | Lyser N Selmon | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-10-15 |
| 1568078566 | Maricus Walker | Counselor | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989612 | Rhonda Bufkin | Social Worker | 405 Briarwood Dr Ste 302, Jackson, MS 39206-3052 | 2020-10-13 |
| 1023645884 | Cycle of Life Support Community Health Services LLC | Social Worker | 1520 E Ganson St, Jackson, MI 49202-3530 | 2020-03-23 |
| 1669006532 | Alexis Holly | Social Worker | 405 Briarwood Dr # 302, Jackson, MS 39206-3052 | 2020-02-28 |
| 1609418250 | Ashley Frascella | Social Worker | 13 Parkhill St, Jackson, NJ 08527-3737 | 2019-10-16 |
| 1104475268 | Valerie Baker | Social Worker | 172 W University Pkwy Ste A, Jackson, TN 38305-1622 | 2019-09-10 |
| 1548815863 | Lily Kovach | Social Worker | 6552 Smith Rd, Jackson, MI 49201-9612 | 2019-08-04 |
| 1285298513 | Kyla Milan Washington | Social Worker | 950 W Monroe St Ste 600a&b, Jackson, MI 49202-2079 | 2019-04-22 |
| 1639630551 | Pamela Stalter-o'neil | Social Worker | 5572 Viking Dr, Jackson, MI 49201-8815 | 2019-03-26 |
| 1407316284 | Yvonne Vieira Moffett | Social Worker | 950 W Monroe St Ste A&600b, Jackson, MI 49202-2079 | 2019-03-20 |
| 1710458419 | Jasmine Grace Walker | Social Worker | 338 Galvez St, Jackson, MS 39209-3903 | 2018-12-06 |
| 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.