MEDICARE: MR. ROBERT FRANCIS SMITH LSW, CAC

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
1	1041C0700X	Clinical Social Worker	SW010318L	PA

General Provider Information

NPI Number	:	1124018718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT FRANCIS SMITH LSW, CAC

Provider Business Mailing Address
First Line	:	740 SCHOOL LINE DR
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-3511
Country	:	US
Telephone Number	:	484-686-4903
Fax Number	:	610-491-9253

Provider Business Practice Location Address
First Line	:	2500 DEKALB PIKE
Second Line	:	SUITE 206, THE COTTAGE
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-2007
Country	:	US
Telephone Number	:	484-686-4903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	06/22/2009

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