De Smith Consulting Llc | |
1500 Lafayette St Ste. 152 Gretna LA 70053 | |
(504) 259-0208 | |
(504) 309-7845 |
Full Name | De Smith Consulting Llc |
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Speciality | Social Worker |
Location | 1500 Lafayette St, Gretna, Louisiana |
Authorized Official Name and Position | D'ana Smith (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 5042283793 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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De Smith Consulting Llc 2440 Park Place Dr Gretna LA 70056-3046 Ph: (504) 228-3793 | De Smith Consulting Llc 1500 Lafayette St Ste. 152 Gretna LA 70053 Ph: (504) 259-0208 |
NPI Number | 1700514924 |
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Provider Enumeration Date | 08/15/2022 |
Last Update Date | 09/25/2024 |
Certification Date | 09/25/2024 |
Medicare PECOS PAC ID | 5193108488 |
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Medicare Enrollment ID | O20220819000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700514924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Provider Name | D'ana E Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396142378 PECOS PAC ID: 1355641093 Enrollment ID: I20151201002704 |
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