Healthcare Provider Details

I. General information

NPI: 1922581859
Provider Name (Legal Business Name): DREW A SMITH LSCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2018
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SW 33RD ST
TOPEKA KS
66611-1846
US

IV. Provider business mailing address

624 SW 24TH ST
TOPEKA KS
66611-1294
US

V. Phone/Fax

Practice location:
  • Phone: 620-363-2685
  • Fax:
Mailing address:
  • Phone: 785-295-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06152
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: