Active NPIIndividual provider

Thomas M Smith, LCSW

Social Worker, Clinical in Mountain Home Afb, Idaho

NPI Number1306051065
Practice location
90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648
Fax
—
Last updated
June 27, 2018

Thomas Michael Smith is a Social Worker, Clinical based in Mountain Home Afb, ID. Thomas Michael Smith practices in Mountain Home Afb, ID and has the professional credentials of LCSW. The NPI Number for Thomas Michael Smith is 1306051065 and holds a License No. SW125549 (PA). The current practice location address for Thomas Michael Smith is 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 and can be reached out via phone at 208-828-7580.

Provider Profile Details

NPI Number
1306051065
Provider Name
Thomas Michael Smith
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648
Phone Number
208-828-7580
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 14, 2007
Last Update Date
June 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Hope Dr Bldg 1900
Mountain Home Afb, ID 83648
State
Idaho
Zip
83648
Phone Number
208-828-7580
Mountain Home Afb, ID 83648Get directions →

Provider Business Mailing Address Details

Address
106 Offutt RD
Hanscom Afb, MA 01731-2634
City
Hanscom Afb
State
MA
Zip
01731-2634
Phone Number
570-977-2067

License Information

License Number (1)
SW125549
License State (1)
PA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
CW016654
License State (2)
PA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Thomas M Smith, LCSW?

The NPI number of Thomas M Smith, LCSW is 1306051065. It was assigned on May 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Thomas M Smith, LCSW?

Thomas M Smith, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in PA under license number SW125549.

Where does Thomas M Smith, LCSW practice?

The practice location is 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648. The office can be reached at 208-828-7580 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306051065 directly on the NPPES registry website.

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