Lawrence Smith Jr, LICDC, LSW is a
Counselor - Addiction (substance Use Disorder) based in Perry, Ohio. Lawrence Smith Jr is licensed to practice in Ohio (license number LICDC.923267) and his current practice location is
4194 S Ridge Rd, Perry, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 259-8253.
NPI number for Lawrence Smith Jr is 1578006771 and his current mailing address is 4194 S Ridge Rd, Perry, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578006771.
Healthcare Provider's Profile
| Full Name | Lawrence Smith Jr |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 4194 S Ridge Rd, Perry, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578006771
- Provider Enumeration Date: 11/21/2016
- Last Update Date: 11/22/2016
Medical Identifiers
Medical identifiers for Lawrence Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578006771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.923267 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | S.1450604 (Ohio) | 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. Lawrence Smith Jr 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 |
|---|
Lawrence Smith Jr, LICDC, LSW
4194 S Ridge Rd,
Perry, OH 44081-9648
Ph: (440) 259-8253 | Lawrence Smith Jr, LICDC, LSW
4194 S Ridge Rd,
Perry, OH 44081-9648
Ph: (440) 259-8253 |
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