Smith, Deborah Ann

Smith, Deborah Ann is an sole proprietor health care provider with primary practice located at 1100 Shawnee Rd , Lima OH 45805-3529. 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, Deborah Ann can be contacted via phone (419) 999-2010.

Contact Information

Primary practice address
1100 Shawnee Rd Lima OH 45805-3529
Fax: (419) 999-6284
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1.0028480 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0028480 Ohio

Profile Details

NPI number 1821133919
LBN Legal business name Smith, Deborah Ann
Credentials LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Mar 20th, 2024 - about 9 months 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 1821133919 NPPES
Ohio MEDICAID 0186579

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