Smith, Nancy M
Smith, Nancy M is an sole proprietor health care provider with primary practice located at 110 2Nd Ave. E. Suite 1, Superior MT 59872-0622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Smith, Nancy M can be contacted via phone (406) 822-5422.Contact Information
Primary practice address
110 2Nd Ave. E. Suite 1
Superior MT 59872-0622
Phone: (406) 822-5422
Fax: (406) 822-5423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 765 | Montana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 635 | Montana |
Profile Details
| NPI number | 1740350461 |
|---|---|
| LBN Legal business name | Smith, Nancy M |
| Credentials | MSW, LCSW, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Nov 12th, 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 | 1740350461 | NPPES |
| Montana | Other | 5588 | MONTANA STATE LICENSE |
| Montana | Other | 70675 | MONTANA STATE LICENSE |
| Montana | MEDICAID | 0503183 | MONTANA STATE LICENSE |
| Montana | Other | 780552000 | MONTANA STATE LICENSE |
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