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

Individual provider Clinical Social Worker · NPI 1710121314

Mrs. Jeanne Marie Smith, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2000, 26 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
26
Licensed in
RI
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 273-7100
Fax: (401) 525-2586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01741 (RI)

Record details

NPI number1710121314
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 27, 2009
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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