MEDICARE: DILLON T 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	C018659	NC

General Provider Information

NPI Number	:	1588378574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILLON T SMITH

Provider Business Mailing Address
First Line	:	2140 DERBY CT
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-5219
Country	:	US
Telephone Number	:	828-244-7970
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 S STERLING ST STE B
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3473
Country	:	US
Telephone Number	:	828-237-2340
Fax Number	:

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

Provider Enumeration Date	:	01/13/2023
Last Update Date	:	11/05/2025

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