Smith, Tara

Smith, Tara is an sole proprietor health care provider with primary practice located at 684 W Boughton Rd Ste D , Bolingbrook IL 60440-1781. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Tara can be contacted via phone (773) 688-4568.

Contact Information

Primary practice address
684 W Boughton Rd Ste D Bolingbrook IL 60440-1781
Phone: (773) 688-4568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW80402 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.019343 Illinois

Profile Details

NPI number 1841700036
LBN Legal business name Smith, Tara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2017
Last updated Jan 15th, 2019 - about 5 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.

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