Smith, Mark L
Smith, Mark L is an sole proprietor health care provider with primary practice located at 14825 E 42Nd St S Suite 208, Independence MO 64055-4776. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Mark L can be contacted via phone (816) 353-5363.Contact Information
Primary practice address
14825 E 42Nd St S Suite 208
Independence MO 64055-4776
Phone: (816) 353-5363
Fax: (816) 295-6100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000226 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002326 | Missouri |
Profile Details
| NPI number | 1245216837 |
|---|---|
| LBN Legal business name | Smith, Mark L |
| Credentials | LPC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Aug 25th, 2014 - about 11 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 | 1245216837 | NPPES |
| Missouri | Other | A958082 | VALUE OPTIONS |
| Missouri | Other | 34942019 | VALUE OPTIONS |
| Missouri | Other | 34942 | VALUE OPTIONS |
| Missouri | MEDICAID | 493295521 | VALUE OPTIONS |
| Missouri | Other | MA14787001 | VALUE OPTIONS |
| Missouri | Other | 1669617627 | VALUE OPTIONS |
| Missouri | Other | MA1478 | VALUE OPTIONS |
Popular Providers
-
Zeiler, Kathleen Marie
501 W Lexington Suite A, Independence MO 64050-6000 -
Parsons, Michele L
11004 E Us Highway 40 , Independence MO 64055-6023 -
Gragg, Amy Leann
3737 S Elizabeth St Suite 100, Independence MO 64057-1759 -
Vansickle, Linda Kay
3031 M 291 Frontage Rd , Independence MO 64057-2334 -
Wilson, Greg Stephen
2701 N Old Atherton Rd , Independence MO 64058-2012 -
Cool, Danielle Marie
3210 S Lees Summit Rd , Independence MO 64055-1943 -
Dickerson, Barbara Jane
12600E Us Highway 40 101 , Independence MO 64055-5909 -
Delamarie, John M
4710 S Cedar Crest Crt Suite 1200, Independence MO 64055