MEDICARE: ARMANI SMITH

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	12390-123	WI

General Provider Information

NPI Number	:	1184323180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMANI SMITH

Provider Business Mailing Address
First Line	:	203 W COVENTRY CT APT 115
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-3982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 W COVENTRY CT APT 115
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-3982
Country	:	US
Telephone Number	:	414-366-6634
Fax Number	:

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

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	05/20/2026

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Directions to “ ARMANI SMITH ” Practice Location

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