JENNIFER DICKERSON SMITH


Address: 140 Palma Dr, Staten Island, NY 10304-3400
Phone: 7184422225

JENNIFER DICKERSON SMITH (NPI# 1548637275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548637275
Entity Type Individual
Full Name JENNIFER DICKERSON SMITH
Practice Address 140 Palma Dr
Staten Island
NY 10304-3400
Mailing Address 630 Victory Blvd
Apt 2b
Staten Island
NY 10301-3552
Practice Telephone 7184422225
Mailing Telephone 9177509174
Enumeration Date 2015-08-28
Last Update Date 2017-03-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
197976 NY Behavioral Health & Social Service Providers

Other Providers JENNIFER SMITH

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1750905154 Jennifer Dawn Smith Registered Nurse 624 W 1825 N, Centerville, UT 84014-3146 2020-06-01
1497378962 Jennifer Morgan Smith Speech-Language Pathologist 110 Jeremy Ct, Easton, PA 18045-2162 2020-05-19
1811518566 Jennifer C Smith Counselor 111 Red Fawn Rd, Brewster, MA 02631-2058 2020-05-05
1477182400 Jennifer Eileen Smith Dietitian, Registered 7439 Chummley Ct, Falls Church, VA 22043-2938 2020-04-02
1134754526 Jennifer Weston Smith Massage Therapist 1829 Ne 58th St, Seattle, WA 98105-2440 2020-03-06
1588294938 Jennifer Lynn Smith Doula 7291 Enders Ave, San Diego, CA 92122-2808 2020-01-23

Office Location

Street Address 140 PALMA DR
City STATEN ISLAND
State NY
Zip Code 10304-3400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265708077 Juvy Rivera Physical Therapist 140 Palma Dr, Staten Island, NY 10304-3400 2012-03-26
1558800680 Margaret M Rice Speech-Language Pathologist 140 Palma Dr, Staten Island, NY 10304-3400 2017-02-22
1972047371 Sindia Gianina Rodriguez Speech-Language Pathologist 140 Palma Dr, Staten Island, NY 10304-3400 2016-12-05
1831632413 Donna Marie Hanson-brown Speech-Language Pathologist 140 Palma Dr, Staten Island, NY 10304-3400 2016-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215542923 Margaret Chifong Tam Nurse Practitioner 85 Venice Avenue, Staten Island, NY 10304 2020-09-10
1598397788 Alexandria & Akea's Playhouse, Inc. Day Training, Developmentally Disabled Services 1864 Clove Road, Staten Island, NY 10304 2020-02-06
1548746811 Bryant Edward Pearson Technician/Technologist 664 Bay Street, Staten Island, NY 10304 2018-07-19
1366941668 Safwat Attia Youssef Orthopaedic Surgery 25 Sunrise Terrace, Staten Island, New York, NY 10304 2018-02-02
1699294090 Kate Lynn Chimienti Specialist/Technologist 52 Smith Ter Fl1, Staten Island, NY 10304 2017-09-17
1881117315 Fun Speech Therapy, P.C. Early Intervention Provider Agency 367 St Pauls Ave., Staten Island, NY 10304 2017-07-17
1720517097 Senada Pelinkovic Speech-Language Pathologist 29 Remsen St, Staten Island, NY 10304 2017-06-08
1760927255 Kpannah Moore Licensed Practical Nurse 492 Vanderbilt Avenue, Staten Island, NY 10304 2016-12-20
1689116592 Rena Li Registered Nurse 30 Celebration Lane, Staten Island, NY 10304 2016-11-09
1407304835 Esther Mitnick Counselor 285 Vanderbilt Avenue, State Island, NY 10304 2016-09-14
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003360827 Alex Fasano Social Worker 8 Johnson St, Staten Island, NY 10309-1148 2016-08-10
1144625161 Kara Ann Cruz Social Worker 669 Castleton Ave, Staten Island, NY 10301-2028 2014-11-03
1992133763 Patrick Adams Social Worker 285 Clove Rd, Staten Island, NY 10310-1906 2013-10-14
1386996106 Radha Janadee Hettiarachchi Social Worker 3974 Amboy Rd, Staten Island, NY 10308-2448 2012-10-03
1679882013 Phyllis Africanio Social Worker 40 Merrill Ave, Staten Island, NY 10314-3312 2010-10-04
1871717843 Geraldine S Matthews Social Worker 3974 Amboy Rd, 3rd Fl, Staten Island, NY 10308-2414 2007-04-12
1083838189 Suzanne Livolsi Social Worker 3974 Amboy Rd, 3rd Fl, Staten Island, NY 10308-2414 2007-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710584891 Alliah Irtan Social Worker 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 2020-10-02
1144834045 Luis Steven Maisonet Social Worker 255 Porter Ave, Buffalo, NY 14201-1051 2020-09-08
1386258135 Kimberly Lama Khan Social Worker 301 Henry St Fl 1, New York, NY 10002-4840 2020-08-31
1801406327 Simone Curling Social Worker 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 2020-08-10
1720604622 Matthew Joseph Danis Social Worker 219 W 15th St Apt 1f, New York, NY 10011-6449 2020-06-17
1710512538 Carmen I Ramos Social Worker 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 2020-03-12
1134753429 Susan London Social Worker 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 2020-02-26
1952948432 Esmeralda Murati Social Worker 65 Tuckahoe Ave, Eastchester, NY 10709-3624 2019-12-04
1588209415 Tenisha Neil-robinson Social Worker Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 2019-11-14
1891345781 Danielle Tooley Social Worker 403 Broadway, Kingston, NY 12401-4625 2019-09-12
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Competitor

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City STATEN ISLAND
Zip Code 10304

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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