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
Fax: (609) 386-8674
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1780782250 NPPES
New Jersey Other 0506280000 AMERIHEALTH
New Jersey Other 0506280000 AMERIHEALTH
New Jersey Other 4559692 AMERIHEALTH

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