Ms Sharon Suzette Smith-wilborn, LMSW, LISAC is a
Counselor - Addiction (substance Use Disorder) based in Tempe, Arizona. Ms Sharon Suzette Smith-wilborn is licensed to practice in Arizona (license number LISAC - 11665) and her current practice location is
4839 S Darrow Dr, G162, Tempe, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 234-2404.
NPI number for Ms Sharon Suzette Smith-wilborn is 1265663504 and her current mailing address is 4839 S Darrow Dr, G162, Tempe, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265663504.
Healthcare Provider's Profile
| Full Name | Ms Sharon Suzette Smith-wilborn |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 4839 S Darrow Dr, Tempe, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265663504
- Provider Enumeration Date: 08/04/2009
- Last Update Date: 11/30/2011
Medical Identifiers
Medical identifiers for Ms Sharon Suzette Smith-wilborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265663504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LMSW - 8441 (Tennessee) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC - 11665 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sharon Suzette Smith-wilborn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Sharon Suzette Smith-wilborn, LMSW, LISAC
4839 S Darrow Dr, G162,
Tempe, AZ 85282-6684
Ph: (480) 234-2404 | Ms Sharon Suzette Smith-wilborn, LMSW, LISAC
4839 S Darrow Dr, G162,
Tempe, AZ 85282-6684
Ph: (480) 234-2404 |
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