Provider Demographics
NPI:1639743263
Name:JACKIE SMITH LICSW
Entity Type:Organization
Organization Name:JACKIE SMITH LICSW
Other - Org Name:TOUCHPOINT COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:920-471-3419
Mailing Address - Street 1:1942 CRYSTAL SPRINGS RD W
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98466-2910
Mailing Address - Country:US
Mailing Address - Phone:253-468-7899
Mailing Address - Fax:253-220-2585
Practice Address - Street 1:7191 WAGNER WAY STE 304
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6909
Practice Address - Country:US
Practice Address - Phone:253-468-7899
Practice Address - Fax:253-220-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty