A Hoarding Alliance local resource guide

Hoarding support in Smithville, Tennessee.

You do not have to solve everything at once. Start with the next safe, manageable conversation.

People first.Then the stuff.A Fight the Blight initiative

Start here - Fight the Blight

Choose the kind of help you need first

The best first step may be support, an urgent safety response, a health or benefits question, a housing concern, or practical help with transportation and disposal. Each listing below states what it does and what you should confirm.

Ask what a first conversation would cover or how a virtual group works. You can ask without sending photos or arranging a home visit.

Role: nonprofit front door for hoarding support and virtual groups; geography: ask about joining online from Smithville or elsewhere in DeKalb County; cost/eligibility: confirm registration, group fit, and any fees; funded local home services are not assumed; emergency limit: not therapy or emergency response.

For immediate danger

If there is immediate danger, smoke or fire, a medical emergency, or an urgent threat to someone's safety, call 911. This guide is for navigation and support; it is not emergency response, therapy, medical care, legal advice, or a promise of cleanup or housing.

First conversations

A few good places to start

You do not need to know the perfect service name before reaching out. These organizations can help you understand the landscape and identify a next step.

Role: private-pay hoarding support, sorting and organizing, decluttering, deep cleaning, and friends/family guidance; geography: confirm Smithville or DeKalb County service area and travel; cost/eligibility: private-pay rates, scope, and scheduling must be confirmed; emergency limit: not therapy, medical care, or emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

The Peer Tree

Use this as a private-pay pathway when grant-funded help is not the fit. Confirm the service scope, travel expectations, rate, and whether the current request is appropriate before scheduling.

Role: digital peer support, reflection, practical tools, and connection; geography: available online from Smithville and DeKalb County; cost/eligibility: confirm current access and any account requirements; emergency limit: not therapy, medical care, cleanup, or emergency support. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Unburied

Use Unburied for peer connection, reflection, practical tools, and support between appointments or conversations. It is not therapy or emergency support.

Role: statewide information and referral navigation; geography: ask for current DeKalb County options; cost/eligibility: call 211 or use the current information page and confirm each referral's eligibility, availability, and fees; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee 211

Tell the navigator what kind of help is needed, such as food, transportation, housing, utilities, caregiving, or behavioral-health referral. Ask for current local options and what to confirm next.

Safety and stability

When the concern involves safety, housing, or crisis

These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve crisis care, protective services, shelter, housing rules, legal advocacy, or emergency dispatch.

Role: emergency response for immediate danger, fire, medical emergency, or a crime in progress; geography: Smithville and DeKalb County; cost/eligibility: call when immediate response is needed; emergency limit: this is the emergency pathway, not a general service-navigation line. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

911: Immediate Danger

Call 911 when there is immediate danger, smoke or fire, a medical emergency, or an urgent threat to someone's safety.

Role: urgent emotional distress and suicide-crisis support; geography: nationwide, including Smithville and DeKalb County; cost/eligibility: call or text 988; emergency limit: call 911 for immediate physical danger or a medical emergency. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

988 Suicide & Crisis Lifeline

Use 988 for urgent emotional distress or suicidal thoughts. If someone is in immediate physical danger, call 911 instead.

Role: official statewide behavioral-health crisis information and referral routing; geography: Tennessee, including DeKalb County; cost/eligibility: confirm the current crisis option, service area, and any eligibility; emergency limit: call 911 for immediate danger. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Crisis Services

Review Tennessee's current crisis-continuum information when you need help understanding behavioral-health crisis pathways. Confirm the current local option and response limits.

Role: municipal law-enforcement and routine public-safety contact; geography: City of Smithville; cost/eligibility: confirm the department's current nonemergency process and jurisdiction; emergency limit: call 911 for immediate danger, fire, or medical emergency. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Smithville Police Department

The City of Smithville lists Police at 615-597-8210. Use routine contact only for nonemergency questions and confirm the right department before sharing sensitive details.

Role: municipal fire-safety and fire-response contact; geography: City of Smithville; cost/eligibility: confirm the department's current routine-contact process and service area; emergency limit: call 911 for smoke, fire, or immediate danger. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Smithville Fire Department

The City of Smithville lists Fire at 615-597-4141. Ask what a fire-safety question requires; this is not a cleanup or inspection guarantee.

Role: official emergency medical service, ambulance, and dispatch routing; geography: DeKalb County, including Smithville; cost/eligibility: 911 is for emergencies; routine ambulance transfers require medical necessity and should be confirmed; emergency limit: use 911 for immediate danger rather than routine navigation. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County EMS and E-911

DeKalb County lists EMS at 248 Meadowbrook Drive, Smithville, with nonemergency 615-597-6768; E-911 dispatch is at 211 South Mountain Street with dispatch 615-215-3000. Confirm the correct contact for the situation.

Role: county law-enforcement and public-safety routing; geography: DeKalb County outside or across local municipal jurisdictions; cost/eligibility: confirm the current nonemergency process and jurisdiction; emergency limit: call 911 for immediate danger. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County Sheriff's Department

The county lists the Sheriff's Department at 100 Public Square, Smithville, with nonemergency 615-597-4935. County and city processes can differ; confirm which agency serves the address.

Role: 24/7 emergency department and hospital care; geography: 520 West Main Street, Smithville, TN 37166; cost/eligibility: emergency care and billing questions must be confirmed with the hospital or insurer; emergency limit: call 911 or go directly to an emergency department for life-threatening symptoms. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Ascension Saint Thomas DeKalb Hospital Emergency

Ascension lists 24/7 emergency care at 520 W Main St, Smithville, with phone 615-215-5000. It is for medical assessment and treatment, not property cleanup or general social-service navigation.

Role: public-health clinics, WIC, counseling and health services, immunizations, family planning, wellness, and health education; geography: 254 Tiger Drive, Smithville, TN 37166; cost/eligibility: programs can have income or program-specific eligibility; emergency limit: not emergency response or a hoarding-cleanout service. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County Health Department

The county lists the DeKalb County Health Department at 254 Tiger Drive, Smithville, 615-597-7599, Monday through Friday 8:00 AM to 4:30 PM. Ask which current program fits the need.

Role: state directory for county health departments and current contact verification; geography: Tennessee, including DeKalb County; cost/eligibility: confirm each program's eligibility, hours, and fees; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Local Health Department Directory

Use the state directory to cross-check the current DeKalb County health contact and program details before relying on an older number or schedule.

Role: statewide behavioral-health system information and provider-navigation starting point; geography: Tennessee, including DeKalb County; cost/eligibility: confirm provider assignment, insurance or safety-net eligibility, wait time, and telehealth; emergency limit: use crisis or emergency services for an urgent safety concern. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Department of Mental Health and Substance Abuse Services

Use the state department's current information to identify behavioral-health pathways, then confirm local eligibility, wait time, coverage, and service limits directly.

Role: public fire-safety education about blocked exits, ignition sources, smoke alarms, and responder access; geography: general guidance for homes in Smithville and DeKalb County; cost/eligibility: free public information; emergency limit: not an inspection, emergency response, or cleanup plan. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

U.S. Fire Administration: Hoarding Fire Safety

Use this public guidance to think about blocked exits, ignition sources, smoke alarms, and a safety conversation. It does not inspect a home or determine code compliance.

People and practical help

Housing, food, care, transportation, and ongoing support

These listings connect the local community with housing, food, behavioral health, benefits, transit, survivor advocacy, disability support, peer support, and practical resources. Ask about current availability, cost, scope, consent, and safety before relying on them.

Role: official municipal government, resident routing, notices, public works, and city-service information; geography: City of Smithville; cost/eligibility: confirm office, jurisdiction, hours, and fees; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

City of Smithville

Start with the city website for municipal information and current local contacts. The city and DeKalb County have different jurisdictions.

Role: city administration and department routing for police, fire, public works, water, sewer, airport, and city court; geography: City of Smithville; cost/eligibility: confirm the correct office, hours, and fees; emergency limit: routine city routing is not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Smithville City Officials and Departments

The city lists City Hall and department contacts, including Public Works at 615-597-4745, Police at 615-597-8210, and Fire at 615-597-4141. Confirm the address and jurisdiction first.

Role: municipal-code reference and city-code routing; geography: City of Smithville only; cost/eligibility: confirm the current code section, process, fees, and property jurisdiction; emergency limit: not emergency response, legal advice, or a code-compliance determination. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Smithville Municipal Code and Codes Questions

Use the city code as a starting reference, then ask the correct city or county office how current property, sanitation, nuisance, or permitting rules apply.

Role: city public-works, water, and sewer contacts; geography: City of Smithville and its utility service area; cost/eligibility: confirm service area, account rules, rates, repairs, and accepted materials; emergency limit: not emergency response or private-property cleanup. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Smithville Public Works, Water, and Sewer

The city lists Public Works at 615-597-4745, Water Plant at 615-597-5696, and Sewer Plant at 615-597-7875. Confirm whether a concern is a utility issue or a private-property issue.

Role: county government and department-routing source; geography: DeKalb County, including unincorporated areas around Smithville; cost/eligibility: confirm the correct office, jurisdiction, hours, and fees; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County Government

Use the county website for current contacts, health, EMS, sheriff, waste, library, senior, and community-service routing.

Role: county garbage, transfer-station, landfill, and convenience-site information; geography: DeKalb County service locations; cost/eligibility: confirm address, accepted items, fees, site hours, and any quantity limits; emergency limit: not whole-home cleanout labor, hazardous-waste handling, or emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County Solid Waste Management

The county lists a transfer station at 231 Transfer Station Road in Smithville and multiple convenience sites. Confirm current rules and safe handling before moving material.

Role: public library, community information, public computer, and internet-access pathway; geography: 101 South 1st Street, Smithville, TN 37166; cost/eligibility: confirm current hours, access rules, and program availability; emergency limit: not emergency response or case management. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Justin Potter Public Library

The county lists Justin Potter Public Library at 101 South 1st Street, Smithville, 615-597-4359. Ask about current hours, internet access, and community information.

Role: senior-center activities, connection, and aging-support navigation; geography: DeKalb County Complex, 718 South Congress Boulevard, Smithville, TN 37166; cost/eligibility: confirm age, program, meal, transportation, and activity eligibility; emergency limit: not emergency response or medical care. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County Senior Center

The county lists the Smithville Center at 718 S. Congress Blvd., 615-597-7575. Ask what current activities, caregiver, nutrition, or referral support is available.

Role: community meeting, activity, and fitness space; geography: 712 South Congress Boulevard, Smithville, TN 37166; cost/eligibility: the county lists membership and daily fees and programs can vary; emergency limit: not emergency response, treatment, or cleanup service. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb Community Complex and Fitness Room

The county lists the complex at 712 S. Congress Blvd., 615-597-2121, with meeting space, activities, and fitness options. Confirm current fees, classes, and availability.

Role: community-services navigation, utility and rent relief, weatherization, food assistance, and related supports; geography: DeKalb County; cost/eligibility: confirm current funding, income rules, documentation, waitlists, and service area; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

UCHRA DeKalb County Information and Assistance

The UCHRA county sheet lists information and assistance at 726 S. Congress Blvd., Smithville, 615-597-4504, plus housing, utility, food, and weatherization pathways. The sheet is dated 2025; confirm current details.

Role: public transportation, medical-appointment, job-access, and door-to-door ride routing; geography: Upper Cumberland service area including DeKalb County; cost/eligibility: confirm reservation lead time, fare, trip window, accessibility, and service area; emergency limit: not ambulance or emergency transport. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

UCHRA Public Transportation

UCHRA says its public transportation serves residents across the Upper Cumberland and offers local, regional, and door-to-door trips. Call 1-833-828-7477 to confirm a DeKalb County trip.

Role: state service-search tool for food, housing, health, transportation, and other needs; geography: Tennessee, including DeKalb County; cost/eligibility: the State says it does not operate listed programs, so confirm eligibility, availability, and fees with each provider; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Community Compass

Use Community Compass to search by need and place. Treat results as leads and confirm the current provider, intake, waitlist, service area, and cost directly.

Role: state housing-information and supportive-housing navigation; geography: Tennessee, including DeKalb County; cost/eligibility: confirm current listings, accessibility, income rules, application steps, waitlists, and fees; emergency limit: not emergency shelter or emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Housing Search and Supportive Housing

Use Tennessee's housing information to identify possible pathways. Confirm current listings, accessibility, eligibility, and application steps with the housing provider.

Role: state benefits and community-resource navigation; geography: Tennessee, including DeKalb County; cost/eligibility: confirm program-specific income, household, documentation, and renewal rules; emergency limit: not emergency response. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Department of Human Services

Use the state department's current information to identify possible benefit pathways, then confirm eligibility, documentation, and local intake.

Role: state disability-support and service-navigation information; geography: Tennessee, including DeKalb County; cost/eligibility: confirm diagnosis or eligibility rules, intake, documentation, and local capacity; emergency limit: not emergency response or crisis care. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Department of Intellectual and Developmental Disabilities

Use the state site to understand support-navigation routes. Confirm whether the person qualifies and what local intake requires.

Role: veteran-benefits and service-officer navigation; geography: Tennessee, including DeKalb County; cost/eligibility: confirm veteran status, benefit, documentation, and current local contact; emergency limit: not emergency response or crisis care. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

Tennessee Department of Veterans Services

Use the state veterans site to find current benefits and service-officer pathways. Confirm the local contact and required documents.

Role: county fire-safety and fire-response information for areas outside municipal fire jurisdictions; geography: DeKalb County outside the City of Smithville and other municipal coverage; cost/eligibility: confirm the district serving the address and routine contact; emergency limit: call 911 for smoke, fire, or immediate danger. | Every listing identifies its role, geography, cost or eligibility questions, and emergency limits. Confirm current details directly before relying on a pathway.

DeKalb County Fire Department

Use the county fire department site to identify the appropriate district and ask a routine fire-safety question. The county and city departments have different service areas.

A note from the Alliance

Start with the person. Then decide what the situation needs.

This guide is anchored in Smithville, Tennessee, and includes city, county, state, nonprofit, national, and independent pathways. A listing here does not mean Fight the Blight endorses every provider or can guarantee availability. The Hoarding Alliance is not a city or county agency, therapy practice, emergency service, or cleanup company. We will keep reviewing this page, but please confirm details directly before relying on them.

Need help choosing a path? Contact Fight the Blight