MS. JACQUELINE RENEE SMITH LCSW
NPI 1720639560
Social Worker - Clinical in Cheyenne Wells, CO
About Ms. Jacqueline Renee Smith Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACQUELINE RENEE SMITH LCSW (NPI 1720639560) is an individual clinical provider in Cheyenne Wells, Colorado, licensed in Colorado (CSW.09933238) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jacqueline Renee Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cheyenne Wells, CO 80810
- Reassigned Medicare billing, Colorado enrollment
- 39 clinicians in this Medicare group
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 80810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHEYENNE WELLS, CO 80810
CHEYENNE WELLS, CO 80810
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 Jacqueline Smith's NPI number?
The NPI number for Jacqueline Smith is 1720639560. It was assigned to this individual provider in the NPPES registry on September 23, 2019.
Where is Jacqueline Smith located?
Jacqueline Smith practices at 602 N 6th St W, Cheyenne Wells, CO 80810. The listed phone number is (719) 767-5661.
What is Jacqueline Smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jacqueline Smith enrolled in Medicare?
Yes. Jacqueline Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Smith reassigns Medicare benefits to Keefe Memorial Health Service District (Cheyenne Wells, CO). 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 Jacqueline 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 Jacqueline Smith was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Jacqueline Renee Smith, LCSW · NPI 1720639560
Clinical provider in Cheyenne Wells, Colorado. Individual provider, active in the CMS NPPES registry since September 23, 2019.
## Identity
- **NPI:** 1720639560 (Entity type: Individual)
- **Enumerated:** September 23, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW.09933238 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 602 N 6TH ST W, Cheyenne Wells, CO 80810-5125
- **Phone:** (719) 767-5661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Keefe Memorial Health Service District (NPI 1366840688, Cheyenne Wells, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720639560) · Data from the CMS NPPES public registry.