Mrs Dedra L Smith, LSW, LICDC is a
Social Worker based in Columbus, Ohio. Mrs Dedra L Smith is licensed to practice in Ohio (license number S1000824) and her current practice location is
1791 Alum Creek Dr, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 445-8131.
NPI number for Mrs Dedra L Smith is 1780158972 and her current mailing address is 1791 Alum Creek Dr, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780158972.
Healthcare Provider's Profile
Full Name | Mrs Dedra L Smith |
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Gender | Female |
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Speciality | Social Worker |
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Location | 1791 Alum Creek Dr, Columbus, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780158972
- Provider Enumeration Date: 01/22/2019
- Last Update Date: 02/28/2021
Medical Identifiers
Medical identifiers for Mrs Dedra L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780158972 | NPI | - | NPPES |
0331999 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162057 (Ohio) | Secondary |
104100000X | Social Worker | S1000824 (Ohio) | 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. Mrs Dedra L 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 |
Mrs Dedra L Smith, LSW, LICDC 1791 Alum Creek Dr, Columbus, OH 43207-1708 Ph: (614) 445-8131 | Mrs Dedra L Smith, LSW, LICDC 1791 Alum Creek Dr, Columbus, OH 43207-1757 Ph: (614) 445-8131 |
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