Smith-Dandridge, Judy L

Smith-Dandridge, Judy L is an individual health care provider with primary practice located at 601 W Maple Ave , Springdale AR 72764-5335. 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-Dandridge, Judy L can be contacted via phone (479) 236-9539.

Contact Information

Primary practice address
601 W Maple Ave Springdale AR 72764-5335
Phone: (479) 236-9539
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 05229 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2204-C Arkansas

Profile Details

NPI number 1821034851
LBN Legal business name Smith-Dandridge, Judy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 11th, 2014 - about 10 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 1821034851 NPPES
Connecticut MEDICAID 004225901

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