Smith, Darcelmarie

Smith, Darcelmarie is an individual health care provider with primary practice located at 839 Broadway Ste 104 , Gary IN 46402-2414. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Darcelmarie can be contacted via phone (219) 882-4010.

Contact Information

Primary practice address
839 Broadway Ste 104 Gary IN 46402-2414
Phone: (219) 882-4010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29680 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Illinois
Other Service Providers / Peer Specialist 175T00000X 34964 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 30643 Illinois

Profile Details

NPI number 1598196628
LBN Legal business name Smith, Darcelmarie
Credentials MA,CADC,MISA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2013
Last updated Jun 15th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598196628 NPPES
Illinois Other 30643 MISA
Illinois Other 29680 MISA

Popular Providers