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JAMES FRANCIS SMITH LISW
NPI 1326243189
Social Worker - Clinical in Iowa City, IA

Active since June 20, 2007PECOS Enrolled
1226 SUNSET ST, IOWA CITY, IA 52246(319) 621-1536 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Francis Smith Lisw NPPES

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

JAMES FRANCIS SMITH LISW (NPI 1326243189) is an individual clinical provider in Iowa City, Iowa, licensed in Iowa (06711) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1326243189
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES FRANCIS SMITHCredential: LISW
Location Address1226 SUNSET STIowa City, IA 52246-4942
Mailing Address507 E College StIowa City, IA 52240-5115 · (319) 338-7884 · Fax (319) 338-7006
Phone(319) 621-1536
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 20, 2007
Last NPPES UpdateOctober 4, 2021
NPPES CertifiedSeptember 18, 2021
✔ NPI 1326243189 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 IA · 06711
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.
1226 SUNSET ST, Iowa City, IA 52246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Francis Smith Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810464294
PECOS Enrollment IDI20260422002986
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 James Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Smith Counseling Services Of Iowa
1.2 mi
Clinical
44 STURGIS CORNER DR STE 8
Iowa City, IA 52246
  • Reassigned Medicare billing, Iowa enrollment
NPI 1962356535 (319) 855-1484

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 52246 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 $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 James Smith's NPI number?

The NPI number for James Smith is 1326243189. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is James Smith located?

James Smith practices at 1226 Sunset St, Iowa City, IA 52246. The listed phone number is (319) 621-1536.

What is James Smith's specialty?

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

Is James Smith enrolled in Medicare?

Yes. James Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Smith reassigns Medicare benefits to Smith Counseling Services Of Iowa (Iowa City, IA). 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 James Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 3 other insurers list James 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 James Smith was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.