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NPI Code Detail

MEDICARE: LISA SMELTER LCSW

MEDICARE: LISA SMELTER 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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor35785TX

General Provider Information

NPI Number : 1518744051
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA SMELTER LCSW
Provider Business Mailing Address
First Line : 13034 HUNTSMAN RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-4328
Country : US
Telephone Number : 210-602-2252
Fax Number :
Provider Business Practice Location Address
First Line : 13034 HUNTSMAN RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-4328
Country : US
Telephone Number : 210-602-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 06/28/2026

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