MEDICARE: MS. WENDY SMOLINS 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	00791	TX
2	106H00000X	Marriage & Family Therapist	4223	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6217869	OTHER	TX	UNITED BEHAVIORAL HEALTH
2	00S32Z	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1659473114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WENDY SMOLINS LCSW

Provider Business Mailing Address
First Line	:	3131 W ALABAMA ST
Second Line	:	SUITE 304
City	:	HOUSTON
State	:	TX
Zip	:	77098-2036
Country	:	US
Telephone Number	:	713-520-0339
Fax Number	:	713-726-1724

Provider Business Practice Location Address
First Line	:	3131 W ALABAMA ST
Second Line	:	SUITE 304
City	:	HOUSTON
State	:	TX
Zip	:	77098-2036
Country	:	US
Telephone Number	:	713-520-0339
Fax Number	:	713-726-1724

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

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	09/11/2025

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