Healthcare Provider Details

I. General information

NPI: 1518471655
Provider Name (Legal Business Name): JALIA DENISE HURST-SMART MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JALIA SMART

II. Dates (important events)

Enumeration Date: 11/28/2017
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29399 US HIGHWAY 19 N
CLEARWATER FL
33761-2191
US

IV. Provider business mailing address

29399 US HIGHWAY 19 N
CLEARWATER FL
33761-2191
US

V. Phone/Fax

Practice location:
  • Phone: 813-641-4777
  • Fax:
Mailing address:
  • Phone: 813-641-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW20038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: