JACQUELYN NORRY SMITH LCSW-R
NPI 1811244817
Social Worker - Clinical in White Plains, NY

NPI Status: Active since August 08, 2012

Contact Information

1 N BROADWAY
SUITE 704
WHITE PLAINS, NY
ZIP 10601
Phone: (617) 272-0193

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Opted-Out Medicare

About JACQUELYN SMITH

This page provides the complete NPI Profile along with additional information for Jacquelyn Smith, a provider established in White Plains, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1811244817 assigned on August 2012. The practitioner's primary taxonomy code is 1041C0700X with license number R076592 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1811244817
Provider Name
JACQUELYN NORRY SMITH LCSW-R
Gender
Female
Entity Type
Individual
Location Address
1 N BROADWAY SUITE 704 WHITE PLAINS, NY 10601
Location Phone
(617) 272-0193
Mailing Address
11117 66TH AVENUE #1B FOREST HILLS, NY 11375
Mailing Phone
(617) 272-0193
Is Sole Proprietor?
No
Enumeration Date
08-08-2012
Last Update Date
06-08-2017
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A clinical social worker like Jacquelyn 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.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jacquelyn Smith opted out of Medicare effective on 11-02-2015 until 11-02-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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.
R076592
License State
NY
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.

Medicare Participation & PECOS Enrollment Status

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.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-02-2015

  • Opt-Out End Date: 11-02-2025

  • Eligible to Order and Refer? No

Reviews for JACQUELYN NORRY SMITH LCSW-R

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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.
1811244817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
282144882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 4 + 4 + 8 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1811244817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669593133 SARAH KATHERINE REYNOLDS PHD
Individual
Psychologist1 N BROADWAY SUITE 912
WHITE PLAINS, NY 10601
(914) 255-5940
1114250297 RUTH SEPPI HAMILTON LMSW
Individual
Social Worker1 N BROADWAY SUITE 912
WHITE PLAINS, NY 10601
(914) 385-1150
1639309032DR. COLLEEN LANG PH.D.
Individual
Psychologist (Clinical)1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1548576507DR. COURTNEY BERRY PH.D.
Individual
Psychologist1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1548493232MRS. AMANDA J EDWARDS DOHENY LCSW
Individual
Social Worker (Clinical)1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1366757213DR. CHAD S BRICE PH.D.
Individual
Psychologist (Clinical)1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1467822825 JESSICA RENZ PSY.D.
Individual
Psychologist (Clinical)1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1801247408MISS IRENE ZILBER PH.D.
Individual
Psychologist (Clinical Child & Adolescent)1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1184014037 AMY SHARON WALKER PH.D.
Individual
Psychologist (Clinical)1 N BROADWAY SUITE 704
WHITE PLAINS, NY 10601
(914) 385-1150
1982983573 STEPHANIE JACOBS LMHC, PH.D.
Individual
Psychologist1 N BROADWAY
WHITE PLAINS, NY 10601
(914) 385-1150
1770120685COGNITIVE AND BEHAVIORAL CONSULTANTS
Organization
Psychologist1 N BROADWAY
WHITE PLAINS, NY 10601
(914) 385-1150
1841900776 KELSEY MCCOY
Individual
Psychologist (Clinical)1 N BROADWAY
WHITE PLAINS, NY 10601
(914) 385-1150
1942919774 KATHRYN SULLIVAN PHD
Individual
Psychologist1 N BROADWAY
WHITE PLAINS, NY 10601
(914) 385-1150
1477268068 KATHERINE HAMILTON PSYD
Individual
Psychologist (Clinical)1 N BROADWAY
WHITE PLAINS, NY 10601
(914) 385-1150
1427811975 JESSICA WEISS PSYD
Individual
Psychologist (Cognitive & Behavioral)1 N BROADWAY
WHITE PLAINS, NY 10601
(914) 385-1150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811244817, enumerated in the NPI registry as an "individual" on August 08, 2012

The provider is located at 1 N Broadway Suite 704 White Plains, Ny 10601 and the phone number is (617) 272-0193

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

No, the provider signed an affidavit on November 02, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 02, 2025.

This NPI record was last updated on August 08, 2012. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.