Smith, Linda A
Smith, Linda A is an sole proprietor health care provider with primary practice located at 2542 Se Welsh St , Port St Lucie FL 34984-5240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Linda A can be contacted via phone (772) 871-5546.Contact Information
Primary practice address
2542 Se Welsh St
Port St Lucie FL 34984-5240
Phone: (772) 871-5546
Fax: (772) 871-5546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW7789 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R057520-01 | New York |
Profile Details
| NPI number | 1265532956 |
|---|---|
| LBN Legal business name | Smith, Linda A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1265532956 | NPPES |
| New York | MEDICAID | 01975415 |
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