Johnathan Bailey-Smith, LMSW
Social Worker in Saint Charles, MO. Individual provider (NPI-1).
NPI number1508689175
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1508689175
- Entity type
- Individual (NPI-1)
- Name
- Johnathan Bailey-Smith
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2024
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 2024032656 | MO | Yes |
Practice location
3785 New Town BlvdSaint Charles, MO 63301-4358
Phone 844-853-8937
Mailing address
1800 CommunityClinton, MO 64735-8804
Phone 844-853-8937
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.
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All 20 Social Worker providers in Saint Charles · All 2,178 providers in Saint Charles
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