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NPI Code Detail

MEDICARE: MRS. JEANA URANIA SMITH LMSW

MEDICARE: MRS. JEANA URANIA SMITH LMSW
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
1104100000XSocial Worker8642KS
2104100000XSocial Worker2013002952MO

General Provider Information

NPI Number : 1669859898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANA URANIA SMITH LMSW
Provider Business Mailing Address
First Line : 15509 E 3RD STREET CT S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-2297
Country : US
Telephone Number : 816-799-8984
Fax Number :
Provider Business Practice Location Address
First Line : 4251 NORTHERN AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-1593
Country : US
Telephone Number : 816-861-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 04/27/2015

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