| Emily K. Smoot Lcsw-c Llc | |
|
113 S Prospect St Hagerstown MD 21740-5409 | |
| (301) 745-1900 | |
| Not Available |
| Full Name | Emily K. Smoot Lcsw-c Llc |
|---|---|
| Speciality | Social Worker |
| Location | 113 S Prospect St, Hagerstown, Maryland |
| Authorized Official Name and Position | Emily Smoot (BUSINESS OWNER) |
| Authorized Official Contact | 3013270551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily K. Smoot Lcsw-c Llc 113 S Prospect St Hagerstown MD 21740-5409 Ph: (301) 327-0551 | Emily K. Smoot Lcsw-c Llc 113 S Prospect St Hagerstown MD 21740-5409 Ph: (301) 745-1900 |
| NPI Number | 1346028263 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 03/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 6305294943 |
|---|---|
| Medicare Enrollment ID | O20231121001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346028263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Emily K Smoot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861175234 PECOS PAC ID: 5496103038 Enrollment ID: I20231121001030 |
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