Smith, Donita L
Smith, Donita L is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1197. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Smith, Donita L can be contacted via phone (904) 396-8750.Contact Information
Primary practice address
1601 Sw Archer Rd
Gainesville FL 32608-1197
Phone: (904) 396-8750
Fax: (904) 396-8759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 003230 | Missouri |
Profile Details
| NPI number | 1992784789 |
|---|---|
| LBN Legal business name | Smith, Donita L |
| Credentials | MSW; LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Mar 24th, 2017 - about 8 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 | 1992784789 | NPPES |
| Missouri | MEDICAID | 497277004 |
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