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JORDAN SMITH LCSW
NPI 1932783412
Social Worker - Clinical in Chicago, IL

Active since May 10, 2021Opted out of Medicare · through Jan 1, 2028
5 N WABASH AVE, CHICAGO, IL 60602(312) 488-9572 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2024, Oct 6, 2022, May 10, 2021 (3 updates tracked since 2021).

About Jordan Smith Lcsw NPPES

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

JORDAN SMITH LCSW (NPI 1932783412) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149022945) and active in the NPI registry since May 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1932783412
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN SMITHCredential: LCSW
Location Address5 N WABASH AVEChicago, IL 60602-4703
Mailing Address5 N Wabash Ave Apt 802Chicago, IL 60602-4733 · (574) 312-1849
Phone(312) 488-9572
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1932783412 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 · 149022945
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.
5 N WABASH AVE, Chicago, IL 60602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan Smith Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jordan Smith's NPI number?

The NPI number for Jordan Smith is 1932783412. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Jordan Smith located?

Jordan Smith practices at 5 N Wabash Ave, Chicago, IL 60602. The listed phone number is (312) 488-9572.

What is Jordan Smith's specialty?

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

Is Jordan Smith enrolled in Medicare?

No. Jordan Smith has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordan Smith was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.