MEDICARE: MELISSA SMETZER LCSW

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	SW20039	FL
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1124648803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SMETZER LCSW

Provider Business Mailing Address
First Line	:	108 4TH AVE S
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-4020
Country	:	US
Telephone Number	:	813-473-2063
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 4TH AVE S
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-4020
Country	:	US
Telephone Number	:	813-720-7411
Fax Number	:

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

Provider Enumeration Date	:	04/22/2020
Last Update Date	:	05/14/2024

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Directions to “ MELISSA SMETZER LCSW” Practice Location

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