1326247883 NPI number — FRANKIE LYNN SMITH M.S.W., L.I.S.W.-C.P

Table of content: FRANKIE LYNN SMITH M.S.W., L.I.S.W.-C.P (NPI 1326247883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326247883 NPI number — FRANKIE LYNN SMITH M.S.W., L.I.S.W.-C.P

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH
Provider First Name:
FRANKIE
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S.W., L.I.S.W.-C.P
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SMITH
Provider Other First Name:
FRANKLYN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S.W., L.I.S.W.-C.P
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1326247883
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1734
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29465-1734
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-696-7895
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1470 BEN SAWYER BLVD
Provider Second Line Business Practice Location Address:
STE. 7
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29464-4591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-388-2633
Provider Business Practice Location Address Fax Number:
843-388-6990
Provider Enumeration Date:
07/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  1191 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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