Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE M SMITH
Active Sole ProprietorJACKIE M SMITH is a Clinical Social Worker healthcare provider located in FIRCREST, Washington. NPI 1053595660 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FIRCREST, WA
Registration Details
- NPI Number
- 1053595660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2007 (18.615486078964 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
RC00055212 (WA)60336105 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6512 20TH STREET CT W STE B2FIRCREST, WA, 984666212Browse WA providers · Browse ZIP 98466
- Phone
- 2534687899
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FIRCREST, WA
| Name | Credential | NPI |
|---|---|---|
| KARIAH C PHILLIPS | MSW, LICSW | 1316128523 |
| SUE MARY STEVENS | MSW | 1184807356 |
| AMBER BRADFORD | MSW | 1487902680 |
| DARREN WENZ | LICSW | 1871964874 |
| KRISTEN ADRIAZOLA | LICSW | 1700302593 |
| MICHELLE N JAQUISH | LICSW | 1174091110 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.