IndividualActive
Jhaizmine Smith
NPI 1255934287 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1255934287
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A10288 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
333 Ne Russell St
Portland, OR 97212-3762
Phone: (503) 334-9955
Fax: (833) 351-2566
Street-level locationGet directions
Mailing address
4110 Ne 122nd Ave Ste 110
Portland, OR 97230-1359
Additional practice locations (2)
- 2642 Sw 18th PlGresham, OR 97080-5775Phone: (503) 345-5531
- 4110 Ne 122nd Ave Ste 110Portland, OR 97230-1359Phone: (503) 345-5531
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.