Lisa J Smith is a Clinical in Myrtle Beach, South Carolina. Lisa J Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa J Smith is 1730298514. The last update date is 2017-03-22.
Lisa J Smith's current location address is 974 Periwinkle Pl, Myrtle Beach, South Carolina. You can contact this provider via phone number 8437121979. The mailing address for Lisa J Smith is 974 Periwinkle Pl, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa J Smith |
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Address | 974 Periwinkle Pl, Myrtle Beach, South Carolina |
Phone Number | 8437121979 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSWR, LIS |
NPI Number Detail
NPI Number | 1730298514 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2017-03-22 |
Provider Mailing Address Detail
Address | 974 Periwinkle Pl |
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City | Myrtle Beach |
State | South Carolina (SC) |
Post Code | 295775269 |
Phone Number | 8437121979 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 9875 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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618200 | NY | MVP MOHAWK VALLEY PLAN |
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What is the unique identifier code issued to Lisa J Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa J Smith has been assigned the NPI (National Provider Identifier) 1730298514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lisa J Smith?
The Lisa J Smith is physically situated at 974 Periwinkle Pl, in the city of Myrtle Beach, state of SC, with the postal code 295775269.
What is Lisa J Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa J Smith is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Lisa J Smith receive its 1730298514 assignment from the Centers for Medicare & Medicaid Services?
The Lisa J Smith was assigned its 1730298514 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date was the information regarding Lisa J Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa J Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-22.