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NPI Code Detail

MEDICARE: MRS. RENEE N. SMITH LICSW

MEDICARE:  MRS. RENEE N. SMITH  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker5977CAL

General Provider Information

NPI Number : 1053137422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RENEE N. SMITH LICSW
Provider Business Mailing Address
First Line : 400 VESTAVIA PKWY STE 406
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3763
Country : US
Telephone Number : 205-576-7643
Fax Number : 205-732-7249
Provider Business Practice Location Address
First Line : 400 VESTAVIA PKWY STE 406
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3763
Country : US
Telephone Number : 205-576-7643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 04/20/2026

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Directions to “ MRS. RENEE N. SMITH LICSW” Practice Location

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