Healthcare Provider Details

I. General information

NPI: 1154147908
Provider Name (Legal Business Name): BELINDA M SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4436 E 156TH ST
CLEVELAND OH
44128-2913
US

IV. Provider business mailing address

4436 E 156TH ST
CLEVELAND OH
44128-2913
US

V. Phone/Fax

Practice location:
  • Phone: 216-816-8213
  • Fax:
Mailing address:
  • Phone: 216-816-8213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberCHW.002966
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: