Smith, Brenda L
Smith, Brenda L is an sole proprietor health care provider with primary practice located at 601 Pendleton St , Temple TX 76504-2947. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Brenda L can be contacted via phone (254) 742-1524.Contact Information
Primary practice address
601 Pendleton St
Temple TX 76504-2947
Phone: (254) 742-1524
Fax: (254) 742-0789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 24041 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24041 | Texas |
Profile Details
| NPI number | 1942209895 |
|---|---|
| LBN Legal business name | Smith, Brenda L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Mar 6th, 2019 - about 5 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 | 1942209895 | NPPES |
| Texas | Other | 87327Q | BCBS |
| Texas | MEDICAID | 162921405 | BCBS |
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