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JEREMY A SMITH LSW
NPI 1174094197
Social Worker in Champaign, IL

Active since December 17, 2018
2101 FOX DRIVE SUITE 102, CHAMPAIGN, IL 61820(217) 766-0258 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2025, Dec 17, 2018 (2 updates tracked since 2018).

About Jeremy A Smith Lsw NPPES

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

JEREMY A SMITH LSW (NPI 1174094197) is an individual social worker in Champaign, Illinois, licensed in Illinois (150113060) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1174094197
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJEREMY A SMITHCredential: LSW
Location Address2101 FOX DRIVE SUITE 102Champaign, IL 61820-8195
Mailing Address2101 Fox Drive Suite 102Champaign, IL 61820-8195 · (217) 418-1094
Phone(217) 766-0258
Sole ProprietorYes
Enumeration DateDecember 17, 2018
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1174094197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150113060
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2101 FOX DRIVE SUITE 102, Champaign, IL 61820
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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 Jeremy Smith's NPI number?

The NPI number for Jeremy Smith is 1174094197. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Jeremy Smith located?

Jeremy Smith practices at 2101 Fox Drive Suite 102, Champaign, IL 61820. The listed phone number is (217) 766-0258.

What is Jeremy Smith's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jeremy Smith was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.