JALISA SMITH-JORDAN LCSW
NPI 1659015451
Social Worker - Clinical in Peoria, IL

Q: What is Jalisa Smith-jordan's NPI number?

The NPI number for Jalisa Smith-jordan is 1659015451. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Q: What is Jalisa Smith-jordan's specialty?

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

Active since April 27, 2022PECOS Enrolled

1200 HAMILTON BLVD, PEORIA, IL 61606(309) 671-8040 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jalisa Smith-jordan Lcsw NPPES

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

JALISA SMITH-JORDAN LCSW (NPI 1659015451) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149024181) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659015451

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJALISA SMITH-JORDANCredential: LCSW

Location Address1200 HAMILTON BLVDPeoria, IL 61606-1525

Mailing Address1200 Hamilton BlvdPeoria, IL 61606-1525

Phone(309) 671-8040

Sole ProprietorNo

Enumeration DateApril 27, 2022

NPPES CertifiedApril 27, 2022

✔ NPI 1659015451 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 · 149024181

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.

1200 HAMILTON BLVD, Peoria, IL 61606

Open in Google Maps ↗

Other Identifiers 1

Other149024181IL · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jalisa Smith-jordan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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.

Other Providers at the Same Location NPPES 9

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

HUMAN SERVICE CENTER

Clinic/Center (Rehabilitation, Substance Use Disorder)