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
Phone: (919) 451-1954
Fax: (919) 932-1508
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265426449 | NPPES |
North Carolina | Other | 11339005 | CAQH |
North Carolina | Other | 28665 | CAQH |
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