MEDICARE: SHERITA E 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
1	104100000X	Social Worker	2020013671	MO
2	104100000X	Social Worker	11656	KS

General Provider Information

NPI Number	:	1871205377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERITA E SMITH LMSW

Provider Business Mailing Address
First Line	:	7840 WASHINGTON AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2152
Country	:	US
Telephone Number	:	816-200-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	7840 WASHINGTON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1751
Country	:	US
Telephone Number	:	816-200-6001
Fax Number	:

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

Provider Enumeration Date	:	12/16/2022
Last Update Date	:	05/22/2023

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Directions to “ SHERITA E SMITH LMSW” Practice Location

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