Doctor Name: | PATRICK WILLIAM SMITH |
NPI Number: | 1598998726 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LLMSW |
License Number: | 6801091552 |
Business Practice Address: | 715 Pyle Dr Kingsford, MI - 498024456 |
Business Phone Number: | 9067740522 |
Business Fax Number: | 9067741570 |
Mailing Address: | 715 Pyle Dr, KINGSFORD |
State: | MI |
Postal Code: | 498024456 |
Phone Number: | 9067740522 |
Fax Number: | 9067741570 |
NPI Enumeration Date: | 09/04/2009 |
NPI Last Update Date: | 09/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801091552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |