Dodge-Smith, Mary

Dodge-Smith, Mary is an sole proprietor health care provider with primary practice located at 1829 E Franklin St Ste 1100B , Chapel Hill NC 27514-5804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dodge-Smith, Mary can be contacted via phone (919) 451-1954.

Contact Information

Primary practice address
1829 E Franklin St Ste 1100B Chapel Hill NC 27514-5804
Fax: (919) 932-1508
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000375 North Carolina

Profile Details

NPI number 1265426449
LBN Legal business name Dodge-Smith, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Apr 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265426449 NPPES
North Carolina Other 11339005 CAQH
North Carolina Other 28665 CAQH

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