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JACKIE M SMITH
NPI 1053595660
Social Worker - Clinical in Fircrest, WA

Active since December 19, 2007Opted out of Medicare · through Oct 1, 2027
6512 20TH STREET CT W STE B2, FIRCREST, WA 98466(253) 468-7899 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 15, 2017 (3 updates tracked since 2017).

About Jackie M Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE M SMITH (NPI 1053595660) is an individual clinical provider in Fircrest, Washington, licensed in Washington (60336105) and active in the NPI registry since December 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053595660
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACKIE M SMITH
Location Address6512 20TH STREET CT W STE B2Fircrest, WA 98466-6212
Mailing Address1942 Crystal Springs Rd WTacoma, WA 98466-2910 · (920) 471-3419
Phone(253) 468-7899
Sole ProprietorYes
Enumeration DateDecember 19, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1053595660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · 60336105
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X · License RC00055212 (WA)
6512 20TH STREET CT W STE B2, Fircrest, WA 98466
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jackie M Smith has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTY SCHERMERHORN LLC
Counselor (Mental Health)
6512 20TH STREET CT W STE B2
FIRCREST, WA 98466
Pierce County (808) 341-9334
AARON THOMAS PASCOE MA
Counselor (Mental Health)
6512 20TH STREET CT W STE B2
FIRCREST, WA 98466
Pierce County (775) 591-1194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Smith's NPI number?

The NPI number for Jackie Smith is 1053595660. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Jackie Smith located?

Jackie Smith practices at 6512 20th Street Ct W Ste B2, Fircrest, WA 98466. The listed phone number is (253) 468-7899.

What is Jackie Smith's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jackie Smith enrolled in Medicare?

No. Jackie Smith has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jackie Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jackie Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Smith was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.