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NPI Code Detail

MEDICARE: DORETHA YVETTE CRAWFORD SMITH

MEDICARE: DORETHA YVETTE CRAWFORD 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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1205768389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORETHA YVETTE CRAWFORD SMITH
Provider Business Mailing Address
First Line : 7373 BROOKCREST DR STE 354
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3448
Country : US
Telephone Number : 513-802-5642
Fax Number :
Provider Business Practice Location Address
First Line : 7373 BROOKCREST DR STE 354
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3448
Country : US
Telephone Number : 513-802-5642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ DORETHA YVETTE CRAWFORD SMITH ” Practice Location

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