Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY LEE SMITH JR., LCSW, LCASA
ActiveMR. JIMMY LEE SMITH JR., LCSW, LCASA is a Clinical Social Worker healthcare provider located in NEWTON GROVE, North Carolina. NPI 1790112175 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NEWTON GROVE, NC
Registration Details
- NPI Number
- 1790112175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2013 (12.859602180023 yrs)
- Last Updated
- Mar 1, 2019
- Licenses
-
23353 (NC)C010442 (NC)
Practice Information
- Address
-
194 HOLIDAY LNNEWTON GROVE, NC, 283666295Browse NC providers · Browse ZIP 28366
- Phone
- 9192369899
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
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.