Ivan Mckinley Smith in Kannapolis - Clinical
Ivan Mckinley Smith - NPI 1740324904
Ivan Mckinley Smith is a Clinical in Kannapolis, North Carolina. Ivan Mckinley Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ivan Mckinley Smith is 1740324904. The last update date is 2007-07-08.
Ivan Mckinley Smith's current location address is 1305 S Cannon Blvd, Kannapolis, North Carolina. You can contact this provider via phone number 7049391166. The mailing address for Ivan Mckinley Smith is 1305 S Cannon Blvd, Kannapolis, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan Mckinley Smith |
|---|---|
| Address | 1305 S Cannon Blvd, Kannapolis, North Carolina |
| Phone Number | 7049391166 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P-LCSW |
NPI Number Detail
| NPI Number | 1740324904 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1305 S Cannon Blvd |
|---|---|
| City | Kannapolis |
| State | North Carolina (NC) |
| Post Code | 280836232 |
| Phone Number | 7049391166 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | P002751 |
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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 |
|---|---|---|---|
| P002751 | NC | P-LCSW |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ivan Mckinley Smith by the Centers for Medicare & Medicaid Services?
The Ivan Mckinley Smith has been assigned the NPI (National Provider Identifier) 1740324904 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ivan Mckinley Smith is located?
The Ivan Mckinley Smith is situated at the following address: 1305 S Cannon Blvd, Kannapolis, NC, 280836232.
What is Ivan Mckinley Smith's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ivan Mckinley Smith is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1740324904 assigned to Ivan Mckinley Smith?
The Ivan Mckinley Smith was issued its 1740324904 on 2007-02-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ivan Mckinley Smith most recently updated or revised?
The information pertaining to Ivan Mckinley Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.