MRS. JEANNE MARIE SMITH LICSW
NPI 1710121314
Social Worker - Clinical in Providence, RI

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment
830 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 273-7100(401) 525-2586 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, May 23, 2023 (2 updates tracked since 2023).

About Mrs. Jeanne Marie Smith Licsw NPPES

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

MRS. JEANNE MARIE SMITH LICSW (NPI 1710121314) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW01741) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warwick, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1710121314
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JEANNE MARIE SMITHCredential: LICSW
Location Address830 CHALKSTONE AVEProvidence, RI 02908-4734
Mailing Address101 Homer StProvidence, RI 02905-1320 · (401) 533-6077
Fax(401) 525-2586
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 27, 2009
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1710121314 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 RI · ISW01741
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.
830 CHALKSTONE AVE, Providence, RI 02908

Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jeanne Marie Smith Licsw 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 ID5698925220
PECOS Enrollment IDI20121017000356
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 20

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

Pharmacist (Pharmacotherapy)
830 CHALKSTONE AVE, 119
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nurse Practitioner (Acute Care)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Dietitian, Registered
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Registered Nurse
830 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
830 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Jeanne Smith's NPI number?

The NPI number for Jeanne Smith is 1710121314. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Jeanne Smith located?

Jeanne Smith practices at 830 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 273-7100.

What is Jeanne Smith's specialty?

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

Is Jeanne Smith enrolled in Medicare?

Yes. Jeanne 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.

When was this NPI record last updated?

The NPPES record for Jeanne Smith was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.