JENNIFER SMITH (LCSW) – Counselor, NPI 1457578197

JENNIFER SMITH (LCSW) is a healthcare provider. based in Macomb, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for JENNIFER SMITH (LCSW) is 1457578197

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SMITH (LCSW)
NPI
1457578197
Phone
(309) 833-4101
Address
525 E GRANT ST
Enumeration Date
20 April 2007
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093339829
Graduation Year
2009 (17 years ago)
PAC ID
6507227410
Group Practice PAC ID
1052854288
Professional Enrollment ID
I20230725001833
Address ID
IL614550000MA460XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JENNIFER SMITH (LCSW)

  • 525 E GRANT ST

    MACOMB, IL 614553313

    Phone: (309) 833-4101

    Type: Mailing

  • 460 S DEERE RD

    MACOMB, IL 61455

    Phone: (309) 333-9829

    Type: Mailing

  • 460 S DEER RD

    MACOMB, IL 614552602

    Phone: (309) 575-3960

    Fax: (309) 575-3988

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230725001833IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14920$0
View full utilization report →

Insurance plans in this area (ZIP 61455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052854288View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER SMITH (LCSW)?
The federal identifier for JENNIFER SMITH (LCSW) is NPI 1457578197.
Does this profile mean JENNIFER SMITH (LCSW) is currently active?
Yes — JENNIFER SMITH (LCSW) appears active in the national provider directory.
Does JENNIFER SMITH (LCSW) list a primary specialty?
If you are matching referrals, note Counselor for JENNIFER SMITH (LCSW). Clinical services aligned with this taxonomy classification.
Where is JENNIFER SMITH (LCSW)'s primary listing?
We display Macomb, Illinois because that is what the record indicates for JENNIFER SMITH (LCSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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