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JACQUELINE L SMITH
NPI 1912287996
Social Worker - Clinical in Fontana, CA

Active since August 23, 2011
7426 CHERRY AVE STE 210-627, FONTANA, CA 92336(909) 684-3642 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2019, Aug 23, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Jacqueline L Smith NPPES

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

JACQUELINE L SMITH (NPI 1912287996) is an individual clinical provider in Fontana, California, licensed in California (91291) and active in the NPI registry since August 2011. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912287996
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE L SMITH
Location Address7426 CHERRY AVE STE 210-627Fontana, CA 92336
Mailing Address7426 Cherry Ave Ste 210-627Fontana, CA 92336-4221 · (909) 684-3642
Phone(909) 684-3642
Sole ProprietorNo
Enumeration DateAugust 23, 2011
Last NPPES UpdateSeptember 6, 20194 updates tracked since enumeration
✔ NPI 1912287996 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 CA · 91291
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.
7426 CHERRY AVE STE 210-627, Fontana, CA 92336
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Secondary Practice Locations 2

Location 1855 N Euclid AveOntario, CA 91762-2729 · Phone (909) 983-2020 ext. 2224 · Fax (909) 983-6847
Location 27426 Cherry Ave Ste 210-627Fontana, CA 92336-4221 · Phone (909) 684-3642 ext. 90956

Other Identifiers 1

Medicaid95-1946482CA

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 1912287996. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Jacqueline Smith located?

Jacqueline Smith practices at 7426 Cherry Ave Ste 210-627, Fontana, CA 92336. The listed phone number is (909) 684-3642.

What is Jacqueline 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 Jacqueline Smith was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.