MEDICARE: NATALIE SMITH-LOW 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	1041C0700X	Clinical Social Worker	65511	TX
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1619432853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE SMITH-LOW LCSW

Provider Business Mailing Address
First Line	:	2801 LEMMON AVE STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2201
Country	:	US
Telephone Number	:	469-687-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 LEMMON AVE STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2201
Country	:	US
Telephone Number	:	469-687-3200
Fax Number	:

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

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	11/13/2024

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