Smith, Latrina
Smith, Latrina is an sole proprietor health care provider with primary practice located at 605 Piccadilly Ln , Bolingbrook IL 60440-1021. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Latrina can be contacted via phone (630) 253-6518.Contact Information
Primary practice address
605 Piccadilly Ln
Bolingbrook IL 60440-1021
Phone: (630) 253-6518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149017198 | Illinois |
Profile Details
| NPI number | 1831580208 |
|---|---|
| LBN Legal business name | Smith, Latrina |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2015 |
| Last updated | Feb 6th, 2015 - about 9 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 | 1831580208 | NPPES |
| Illinois | MEDICAID | 47-2998431 |
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