MEDICARE: MS. KAREN SMITH 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	101YM0800X	Mental Health Counselor	SW3950	FL

General Provider Information

NPI Number	:	1447378419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN SMITH LCSW

Provider Business Mailing Address
First Line	:	2300 PALM BEACH LAKES BLVD
Second Line	:	#203
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3303
Country	:	US
Telephone Number	:	561-723-2933
Fax Number	:	561-753-7925

Provider Business Practice Location Address
First Line	:	2300 PALM BEACH LAKES BLVD
Second Line	:	#203
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3303
Country	:	US
Telephone Number	:	561-723-2933
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/01/2022

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