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

MS. Lisa Jeanette Smith, LICSW

Individual provider Clinical Social Worker · NPI 1801069596

MS. Lisa Jeanette Smith, LICSW is a Clinical Social Worker in Poulsbo, Washington. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia and Washington.

Years since qualifying
35
Licensed in
VA, WA
In the registry since
2008
Specialties on file
2
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

545 NW Carolyn Ln
Poulsbo, WA 98370-9750
Phone: (360) 900-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00009464 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904013876 (VA)

Record details

NPI number1801069596
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 2, 2008
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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