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NPI Code Detail

MEDICARE: MS. LINDSAY SMITH LICSW

MEDICARE: MS. LINDSAY 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 WorkerBP00944082WV
21041C0700XClinical Social WorkerDP00944082WV

General Provider Information

NPI Number : 1346618188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDSAY SMITH LICSW
Provider Business Mailing Address
First Line : 207 FAIRMONT AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-2710
Country : US
Telephone Number : 681-404-6869
Fax Number :
Provider Business Practice Location Address
First Line : 207 FAIRMONT AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-2710
Country : US
Telephone Number : 681-404-6869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 05/03/2023

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Directions to “ MS. LINDSAY SMITH LICSW” Practice Location

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