NPI Code Details Logo

NPI 1740176965

NPI 1740176965 : ADDY ELIZABETH SMITH LMSW : GADSDEN, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740176965
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ADDY ELIZABETH SMITH LMSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/16/2025
-----------------------------------------------------
    Last Update Date     |    06/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    623 WALNUT ST 
-----------------------------------------------------
    City                 |    GADSDEN
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35901-4136
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    256-673-4346
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    301 BROW DR 
-----------------------------------------------------
    City                 |    GADSDEN
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    35904-3519
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    256-553-4466
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    7057G
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.