Dr Carol Yvonne Smith, PHD, PHD, MS, LICSW, is a
Psychologist - Clinical based in Seven Lakes, North Carolina. Dr Carol Yvonne Smith is licensed to practice in North Carolina (license number 3503) and her current practice location is
1107 Seven Lakes Drive, Seven Lakes, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 778-2427.
NPI number for Dr Carol Yvonne Smith is 1326044546 and her current mailing address is Po Box 4, Jackson Springs, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326044546.
Healthcare Provider's Profile
| Full Name | Dr Carol Yvonne Smith |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1107 Seven Lakes Drive, Seven Lakes, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326044546
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 03/30/2009
Medical Identifiers
Medical identifiers for Dr Carol Yvonne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326044546 | NPI | - | NPPES |
| 6001053 | Medicaid | NC | |
| 39530500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12946 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3503 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 4272-123 (Wisconsin) | Secondary |
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. Dr Carol Yvonne Smith 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 |
|---|
Dr Carol Yvonne Smith, PHD, PHD, MS, LICSW,
Po Box 4,
Jackson Springs, NC 27281-0004
Ph: (414) 975-9908 | Dr Carol Yvonne Smith, PHD, PHD, MS, LICSW,
1107 Seven Lakes Drive,
Seven Lakes, NC 27376-0000
Ph: (910) 778-2427 |
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