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MRS. JESSIE ROSANNE SMITH LCSW
NPI 1063766830
Social Worker - Clinical in Olney, IL

Active since November 01, 2012PECOS EnrolledAccepts Medicare Assignment
3778 N MERIDIAN RD, OLNEY, IL 62450(618) 839-4871 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Jessie Rosanne Smith Lcsw NPPES

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

MRS. JESSIE ROSANNE SMITH LCSW (NPI 1063766830) is an individual clinical provider in Olney, Illinois, licensed in Illinois (149.013667) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063766830
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JESSIE ROSANNE SMITHCredential: LCSW
Location Address3778 N MERIDIAN RDOlney, IL 62450-4815
Mailing Address3778 N Meridian RdOlney, IL 62450-4815 · (618) 839-4871
Phone(618) 839-4871
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 1, 2012
✔ NPI 1063766830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.013667
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.
3778 N MERIDIAN RD, Olney, IL 62450
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessie Rosanne Smith Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951785666
PECOS Enrollment IDI20220830002079
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessie Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Clay
24 mi
Rural Health
929 STACEY BURK DR
Flora, IL 62839
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1811946411 (618) 662-2191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Jessie Smith's NPI number?

The NPI number for Jessie Smith is 1063766830. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Jessie Smith located?

Jessie Smith practices at 3778 N Meridian Rd, Olney, IL 62450. The listed phone number is (618) 839-4871.

What is Jessie Smith's specialty?

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

Is Jessie Smith enrolled in Medicare?

Yes. Jessie Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessie Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Smith reassigns Medicare benefits to County Of Clay (Flora, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessie Smith was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.