Account Bulk check

Jennifer Smoot Gisin, MSW

Social Worker, Clinical in Fairfax, VA. Individual provider (NPI-1).

NPI number1104597459
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1104597459
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Smoot Gisin
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2021
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

3611 Chain Bridge Rd Ste D
Fairfax, VA 22030-3246

Phone 703-380-9045

Mailing address

3611 Chain Bridge Rd Ste D
Fairfax, VA 22030-3246

Phone 703-380-9045

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Fairfax, VA

All 464 Clinical Social Worker providers in Fairfax · All 8,425 providers in Fairfax

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check