Smith, Carol M
Smith, Carol M is an sole proprietor health care provider with primary practice located at 770 E Main St , Moorestown NJ 08057-3073. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Carol M can be contacted via phone (856) 234-7422.Contact Information
Primary practice address
770 E Main St
Moorestown NJ 08057-3073
Phone: (856) 234-7422
Fax: (609) 386-8674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00037500 | New Jersey |
Profile Details
| NPI number | 1780782250 |
|---|---|
| LBN Legal business name | Smith, Carol M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1780782250 | NPPES |
| New Jersey | Other | 0506280000 | AMERIHEALTH |
| New Jersey | Other | 0506280000 | AMERIHEALTH |
| New Jersey | Other | 4559692 | AMERIHEALTH |
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