Smith, Nicole E

Smith, Nicole E is an individual health care provider with primary practice located at 202 Plummer St , Campton KY 41301-9381. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Nicole E can be contacted via phone (606) 668-7385.

Contact Information

Primary practice address
202 Plummer St Campton KY 41301-9381
Fax: (606) 668-7009
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4080 Kentucky

Profile Details

NPI number 1649594797
LBN Legal business name Smith, Nicole E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Feb 27th, 2024 - about 10 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649594797 NPPES
Kentucky Other 4080 LCSW LICENSURE
Kentucky MEDICAID 7100348990 LCSW LICENSURE

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