Kenneth Gregory Smith in Fayetteville - Clinical
Kenneth Gregory Smith - NPI 1356397004
Kenneth Gregory Smith is a Clinical in Fayetteville, North Carolina. Kenneth Gregory Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Gregory Smith is 1356397004. The last update date is 2007-12-03.
Kenneth Gregory Smith's current location address is 3425 Melrose Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9106093700 and fax number 9106093784. The mailing address for Kenneth Gregory Smith is 3425 Melrose Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Gregory Smith |
|---|---|
| Address | 3425 Melrose Rd, Fayetteville, North Carolina |
| Phone Number | 9106093700 |
| Fax Number | 9106093784 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1356397004 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 3425 Melrose Rd |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283041608 |
| Phone Number | 9106093700 |
| Fax Number | 9106093784 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C004052 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6002984 | NC | -- | |
| C004052 | NC | LICENSURE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kenneth Gregory Smith by the Centers for Medicare & Medicaid Services?
The Kenneth Gregory Smith has been assigned the NPI (National Provider Identifier) 1356397004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kenneth Gregory Smith is physically located?
The Kenneth Gregory Smith is situated at the following address: 3425 Melrose Rd, Fayetteville, NC 283041608.
What is Kenneth Gregory Smith's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Gregory Smith is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356397004 to Kenneth Gregory Smith?
The Centers for Medicare & Medicaid Services assigned the 1356397004 to Kenneth Gregory Smith on 2006-05-25.
When was the information related to Kenneth Gregory Smith most recently updated or refreshed?
The details pertaining to the Kenneth Gregory Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-03.