Larry William Smith, LCSW 106859 | |
1071 Crossing Way Nw, Cleveland, TN 37312-2867 | |
(909) 440-0082 | |
Not Available |
Full Name | Larry William Smith |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1071 Crossing Way Nw, Cleveland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306366182 | NPI | - | NPPES |
1306366182 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 106859 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Larry William Smith, LCSW 106859 1071 Crossing Way Nw, Cleveland, TN 37312-2867 Ph: (909) 440-0082 | Larry William Smith, LCSW 106859 1071 Crossing Way Nw, Cleveland, TN 37312-2867 Ph: (909) 440-0082 |
Lisa Whittle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4160 Ocoee St N Ste 8, Cleveland, TN 37312 Phone: 423-290-3509 | |
Julie Ann Hook, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Adkisson Dr Nw Ste 205, Cleveland, TN 37312 Phone: 423-368-5893 | |
Ms. Julie A Holt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Westside Dr Nw, Ste 309, Cleveland, TN 37312 Phone: 423-728-2282 Fax: 423-728-2234 | |
Reba A Terry, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3520 Ozark St Nw, Cleveland, TN 37312 Phone: 423-421-7322 | |
Rhonda V Roper, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312 Phone: 423-479-9652 | |
Mrs. Kathleen Emerson Stulce, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312 Phone: 423-479-9652 | |
Teresa Shull, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1855 Executive Park Nw, Cleveland, TN 37312 Phone: 423-479-5454 Fax: 423-439-0403 |