Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessie Smith Jr.

Individual provider Clinical Social Worker · NPI 1528625282

Jessie Smith Jr. is a Clinical Social Worker in Pinehurst, North Carolina. Qualified in 2019, 7 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019

Practice location Address checks out

205 Memorial Dr
Pinehurst, NC 28374-8712
Phone: (910) 295-6853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P013389 (NC)

Record details

NPI number1528625282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESMay 28, 2019
Mailing address284 Executive Park Dr Ste 100, Concord, NC 28025-1833

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinehurst