Alan P. Smith Lcsw, Pllc, Llc | |
2588 Addington Cir Rockledge FL 32955-6509 | |
(321) 757-4030 | |
(321) 369-9836 |
Full Name | Alan P. Smith Lcsw, Pllc, Llc |
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Speciality | Social Worker |
Location | 2588 Addington Cir, Rockledge, Florida |
Authorized Official Name and Position | Alan P. Smith (OWNER) |
Authorized Official Contact | 3217574030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alan P. Smith Lcsw, Pllc, Llc 7777 N. Wickham Rd Suite 12 Pmb 501 Melbourne FL 32940-7530 Ph: (321) 757-4030 | Alan P. Smith Lcsw, Pllc, Llc 2588 Addington Cir Rockledge FL 32955-6509 Ph: (321) 757-4030 |
NPI Number | 1740685171 |
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Provider Enumeration Date | 10/28/2014 |
Last Update Date | 12/27/2021 |
Certification Date | 12/15/2021 |
Medicare PECOS PAC ID | 3779967393 |
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Medicare Enrollment ID | O20220831002192 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740685171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW12016 (Florida) | Primary |
Provider Name | Alan Paul Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093821043 PECOS PAC ID: 6406742634 Enrollment ID: I20150130000832 |
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