Mr Donald F Smith, ACSW, LCSW | |
3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 | |
(260) 436-5986 | |
(260) 436-1859 |
Full Name | Mr Donald F Smith |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 50 Years |
Location | 3266 Mallard Cove Ln, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629100128 | NPI | - | NPPES |
000000210319 | Other | IN | ANTHEM BCBS |
090762 | Other | MHN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 34001688A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Burry And Smith Counseling Services Inc | 4688834328 | 2 |
Entity Name | Burry And Smith Counseling Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902823891 PECOS PAC ID: 4688834328 Enrollment ID: O20120404000521 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald F Smith, ACSW, LCSW 3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 Ph: (260) 436-5986 | Mr Donald F Smith, ACSW, LCSW 3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 Ph: (260) 436-5986 |
Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 | |
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289 | |
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709 | |
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618 | |
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500 | |
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778 | |
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270 |