Healthcare Provider Details

I. General information

NPI: 1437759289
Provider Name (Legal Business Name): VALERIE MICHELLE SMITH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE MICHELLE LINDERMAN

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N EISENHOWER AVE
MASON CITY IA
50401-1521
US

IV. Provider business mailing address

320 N EISENHOWER AVE
MASON CITY IA
50401-1521
US

V. Phone/Fax

Practice location:
  • Phone: 641-424-2391
  • Fax: 641-424-0783
Mailing address:
  • Phone: 641-424-2391
  • Fax: 641-424-0783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114233
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: