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NPI Code Detail

MEDICARE: ERIN SMITH LCSWA

MEDICARE: ERIN SMITH LCSWA
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
11041C0700XClinical Social WorkerP022107NC

General Provider Information

NPI Number : 1730074188
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN SMITH LCSWA
Provider Business Mailing Address
First Line : 8506 SIX FORKS RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-3259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8506 SIX FORKS RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-3259
Country : US
Telephone Number : 919-234-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 06/09/2025

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Directions to “ ERIN SMITH LCSWA” Practice Location

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