MEDICARE: JENNY ELIZABETH BILSKIE-SMITH LCSW, CIEC, EMDR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LCSW-23305	AZ

General Provider Information

NPI Number	:	1295443661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY ELIZABETH BILSKIE-SMITH LCSW, CIEC, EMDR

Provider Business Mailing Address
First Line	:	11225 N 28TH DR STE B228
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5647
Country	:	US
Telephone Number	:	602-551-6790
Fax Number	:

Provider Business Practice Location Address
First Line	:	11225 N 28TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-5606
Country	:	US
Telephone Number	:	602-551-6790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	01/16/2026

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