Mr James Donta Smith, is a
Social Worker - Clinical based in Pembroke, North Carolina. Mr James Donta Smith is licensed to practice in North Carolina (license number P021403) and his current practice location is
307 E Wardell Dr, Pembroke, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 521-2816.
NPI number for Mr James Donta Smith is 1346953726 and his current mailing address is 60 Commerce Plaza Cir, Pembroke, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346953726.
Healthcare Provider's Profile
| Full Name | Mr James Donta Smith |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 307 E Wardell Dr, Pembroke, North Carolina |
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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: 1346953726
- Provider Enumeration Date: 01/02/2023
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Mr James Donta Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346953726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-30329 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P021403 (North Carolina) | 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. Mr James Donta 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 |
|---|
Mr James Donta Smith,
60 Commerce Plaza Cir,
Pembroke, NC 28372-7386
Ph: (910) 521-2900 | Mr James Donta Smith,
307 E Wardell Dr,
Pembroke, NC 28372-7998
Ph: (910) 521-2816 |
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