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Active NPI 1053595660 Individual Practitioner Female Practitioner

Jackie M Smith

Social Worker - Clinical • Fircrest, WA

Professional Overview & Biography Verified Profile Summary

Jackie Smith is a registered healthcare professional specializing in Social Worker - Clinical in Fircrest, WA. Practice services are available at 6512 20TH STREET CT W STE B2 under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric services complicated by communication factor, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6512 20th Street Ct W Ste B2

Fircrest, WA 984666212

Telephone 2534687899
Associated Practice Facility / Clinic
🏢 Kristy Schermerhorn Llc Facility NPI 1083151393

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Fircrest, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 57.0 Yrs
State Avg: 20.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Fircrest, WA (6524 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
184 20 $150.00 $101.13
90785 Psychiatric services complicated by communication factor
33 12 $15.00 $11.18

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WA 60336105

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WA RC00055212

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Practice Locations

5224 Olympic Dr Nw

Gig Harbor, WA 983351790

Phone: 2534687899

325 E Pioneer Ave

Puyallup, WA 983723265

Phone: 2536978548

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Heather Cummings , LMHCA

Counselor - Mental Health

NPI 1003559121
Chantel Hayes

Social Worker - Clinical

NPI 1083447940
Cristina Gorak

Student in an Organized Health Care Education/Training Program

NPI 1144073750
Elizabeth Wozniak

Counselor - Mental Health

NPI 1508696352
Hannah Harksen , LSWAIC

Social Worker - Clinical

NPI 1558034751
Conor Geraghty

Counselor - Professional

NPI 1811732449

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 6512 20TH STREET CT W STE B2, FIRCREST, WA 984666212 (Tel: 2534687899)

📍
Updated Business Mailing Address June 15, 2017

Registered at 1942 CRYSTAL SPRINGS RD W, TACOMA, WA 984662910 (Tel: (920) 471-3419)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as JACKIE SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Counselor (License #RC00055212 in WA)

NPI Profile Active December 19, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2007

Registered at 325 E PIONEER AVE, PUYALLUP, WA 983723265 (Tel: 2536978548)

📍
Updated Business Mailing Address December 19, 2007

Registered at 325 E PIONEER AVE, PUYALLUP, WA 983723265 (Tel: 2536978548)

👤
Provider Name / Credentials Updated December 19, 2007

Recorded as JACKIE SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2007

Counselor (License #RC00055212 in WA)

🟢
Initial NPI Registration & Enumeration December 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053595660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2007
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

1942 Crystal Springs Rd W

Tacoma, WA 984662910

Phone: 9204713419

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.