Smoot, Johanna E

Smoot, Johanna E is an sole proprietor health care provider with primary practice located at 9037 Shady Grove Ct , Gaithersburg MD 20877-1301. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smoot, Johanna E can be contacted via phone (301) 221-0483.

Contact Information

Primary practice address
9037 Shady Grove Ct Gaithersburg MD 20877-1301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC2225 Maryland

Profile Details

NPI number 1376667071
LBN Legal business name Smoot, Johanna E
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 1st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376667071 NPPES
Maryland Other 21BNJO BCBS PROVIDER NUMBER
Maryland Other LC2225 BCBS PROVIDER NUMBER
Maryland Other 5572 BCBS PROVIDER NUMBER

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