Doctor Name: | CAROLYN P SMITH |
NPI Number: | 1255449096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 33002720A |
Business Practice Address: | 10731 N State Road 13 Elwood, IN - 460368874 |
Business Phone Number: | 3175741254 |
Business Fax Number: | |
Mailing Address: | 9615 E 148th St, Suite 1 NOBLESVILLE |
State: | IN |
Postal Code: | 460604360 |
Phone Number: | 3175870533 |
Fax Number: | 3176740060 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 33002720A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |