1. Home
  2. Directory
  3. North Carolina
  4. Newton Grove
  5. Social Worker
  6. NPI Profile

MR. JIMMY LEE SMITH JR. LCSW, LCASA
NPI 1790112175
Social Worker - Clinical in Newton Grove, NC

Active since October 01, 2013
194 HOLIDAY LN, NEWTON GROVE, NC 28366(919) 236-9899 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jimmy Lee Smith Jr. Lcsw, Lcasa NPPES

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

MR. JIMMY LEE SMITH JR. LCSW, LCASA (NPI 1790112175) is an individual clinical provider in Newton Grove, North Carolina, licensed in North Carolina (C010442) and active in the NPI registry since October 2013. He maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1790112175
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JIMMY LEE SMITH JR.Credential: LCSW, LCASA
Location Address194 HOLIDAY LNNewton Grove, NC 28366-6295
Mailing Address194 Holiday LnNewton Grove, NC 28366-6295 · (919) 236-9899
Phone(919) 236-9899
Sole ProprietorNo
Enumeration DateOctober 1, 2013
Last NPPES UpdateMarch 1, 2019
✔ NPI 1790112175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C010442
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23353 (NC)
194 HOLIDAY LN, Newton Grove, NC 28366
Open in Google Maps ↗

Secondary Practice Location 1

Location 14000 Wake Forest Rd Ste 200Raleigh, NC 27609-6859 · Phone (919) 865-8818

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 Jimmy Smith's NPI number?

The NPI number for Jimmy Smith is 1790112175. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Jimmy Smith located?

Jimmy Smith practices at 194 Holiday Ln, Newton Grove, NC 28366. The listed phone number is (919) 236-9899.

What is Jimmy Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Jimmy Smith was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.