MEDICARE: MRS. JOYCE L. SMITH MSW

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	LC302888	DC

General Provider Information

NPI Number	:	1689614380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOYCE L. SMITH MSW

Provider Business Mailing Address
First Line	:	5213 WESTBARD AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-1411
Country	:	US
Telephone Number	:	202-966-7488
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 CONNECTICUT AVE NW
Second Line	:	SUITE 237
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2509
Country	:	US
Telephone Number	:	202-966-7488
Fax Number	:

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/10/2014

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