JESSIE SMITH JR.
NPI 1528625282
Social Worker - Clinical in Pinehurst, NC
NPI Status: Active since May 28, 2019
Contact Information
205 MEMORIAL DR
PINEHURST, NC
ZIP 28374
Phone: (910) 295-6853
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About JESSIE SMITH
This page provides the complete NPI Profile along with additional information for Jessie Smith, a provider established in Pinehurst, North Carolina with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1528625282 assigned on May 2019. The practitioner's primary taxonomy code is 1041C0700X with license number P013389 (NC). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1528625282
- Provider Name
- JESSIE SMITH JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 MEMORIAL DR PINEHURST, NC 28374
- Location Phone
- (910) 295-6853
- Mailing Address
- 284 EXECUTIVE PARK DR STE 100 CONCORD, NC 28025
- Mailing Phone
- (704) 939-1100
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-28-2019
- Last Update Date
- 05-28-2019
- Code Navigator
A clinical social worker like Jessie Smith is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P013389
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jessie Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28374 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 6 | 2 | 5 | 2 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 12 | 2 | 10 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 2 + 2 + 1 + 0 + 2 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1528625282 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386919314 | TERESA ANN TORRENCE Individual | Counselor | 205 MEMORIAL DR PINEHURST, NC 28374 (704) 939-1100 |
| 1285900126 | DOROTHY MAE STEVENSON Individual | Counselor | 205 MEMORIAL DR PINEHURST, NC 28374 (704) 939-1100 |
| 1689921090 | ERNESTO ROBLEDO Individual | Counselor | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1114274511 | ANDREA J DANIEL Individual | Counselor | 205 MEMORIAL DR PINEHURST, NC 28374 (919) 295-6853 |
| 1851648257 | DONNA S DAVENPORT Individual | Counselor | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1790035962 | JOHN A CAMPBELL III Individual | Counselor | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1477990422 | BARBARA WARDWELL MARK Individual | Counselor (Addiction (Substance Use Disorder)) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1124415542 | DIANE HENRY Individual | Registered Nurse | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1548660277 | ANDREA TIPPIT LCAS-A, LPC-A Individual | Counselor (Addiction (Substance Use Disorder)) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1457716003 | DEBORAH ANNE GORDON RN Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1538517099 | AMEY PARKINS Individual | Social Worker (Clinical) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1710473079 | ELLEN NORDICK Individual | Counselor (Professional) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1174146369 | DANIELLE SHARON MOHLHENRICH-THOMPSON Individual | Counselor (Addiction (Substance Use Disorder)) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-2040 |
| 1710654785 | CHRISTINE ANN WEATHERSPOON MSW,LCSWA Individual | Social Worker (Clinical) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1184097974 | BRANDIE HOLLIFIELD KEY MSW, LCSW, LCAS, CCS Individual | Social Worker (Clinical) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1538669254 | CASEY VAUGHN MABE MSW, LCSW, LCAS Individual | Social Worker (Clinical) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1902909989 | DR. GARY STEPHEN KAUFMAN LCMHCS Individual | Counselor (Professional) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1629734595 | JESSICA LYNNE CRAFTON Individual | Social Worker (Clinical) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
| 1033990122 | JENNIFER FAY MARINELLIE LCAS-A Individual | Counselor (Addiction (Substance Use Disorder)) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-2040 |
| 1700390895 | CELESTE ALLYN MCVEIGH LCSW Individual | Social Worker (Clinical) | 205 MEMORIAL DR PINEHURST, NC 28374 (910) 295-6853 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528625282, enumerated in the NPI registry as an "individual" on May 28, 2019
The provider is located at 205 Memorial Dr Pinehurst, Nc 28374 and the phone number is (910) 295-6853
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 28, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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