Smith, Maegin
Smith, Maegin is an individual health care provider with primary practice located at 447 W Bearcat Dr , South Salt Lake UT 84115-2519. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Maegin can be contacted via phone (503) 645-3581.Contact Information
Primary practice address
447 W Bearcat Dr
South Salt Lake UT 84115-2519
Phone: (503) 645-3581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | T-17-398 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11809466-6006 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11809466-3501 | Utah |
Profile Details
| NPI number | 1801374186 |
|---|---|
| LBN Legal business name | Smith, Maegin |
| Credentials | CADC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Sep 20th, 2023 - about last year |
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 | 1801374186 | NPPES |
| Oregon | Other | T-17-398 | ACCBO |
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