DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JERRY SMITH LCSW

MEDICARE: JERRY SMITH 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
11041C0700XClinical Social Worker1614GA

General Provider Information

NPI Number : 1902278443
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY SMITH LCSW
Provider Business Mailing Address
First Line : 4145 COLUMBIA RD
Second Line :
City : MARTINEZ
State : GA
Zip : 30907-5400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4145 COLUMBIA RD
Second Line :
City : MARTINEZ
State : GA
Zip : 30907-5400
Country : US
Telephone Number : 706-869-7373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2015
Last Update Date : 10/23/2015

Similar Medicare Providers

1285566059 — DAWN FRAZER
Practice Location Address:
4145 COLUMBIA RD
MARTINEZ, GA
30907-5400
Practice Phone: 706-869-7373
Practice Fax: 706-869-7373
1497805758 — MRS. CHERYL ANN CARSWELL MS, LPC
Practice Location Address:
4145 COLUMBIA RD
MARTINEZ, GA
30907-5400
Practice Phone: 706-869-7373
Practice Fax: 706-869-7380
1164637773 — GEORGIA FAMILY CRISIS SOLUTIONS
Practice Location Address:
4145 COLUMBIA RD
MARTINEZ, GA
30907-5400
Practice Phone: 706-869-7373
Practice Fax: 706-869-7380
1609014802 — MR. PHILLIP DANIEL STOCKARD
Practice Location Address:
4145 COLUMBIA RD
MARTINEZ, GA
30907-5400
Practice Phone: 706-869-7373
Practice Fax: 706-869-7380
1952767543 — VANESSA H ANDERSON LPC
Practice Location Address:
4145 COLUMBIA RD
MARTINEZ, GA
30907-5400
Practice Phone: 706-869-7373
Practice Fax: 706-869-7380
1104575646 — CHARLESETTA WILLIS MHA, MS, RN
Practice Location Address:
4145 COLUMBIA RD
MARTINEZ, GA
30907-5400
Practice Phone: 706-869-7373
Practice Fax:

Directions to “ JERRY SMITH LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.