Smith, Camille S
Smith, Camille S is an sole proprietor health care provider with primary practice located at 5401 Kingston Pike Suite 420, Knoxville TN 37919-5022. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Camille S can be contacted via phone (865) 558-0569.Contact Information
Primary practice address
5401 Kingston Pike Suite 420
Knoxville TN 37919-5022
Phone: (865) 558-0569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | IP-95 | Tennessee |
Profile Details
| NPI number | 1548253305 |
|---|---|
| LBN Legal business name | Smith, Camille S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Feb 10th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548253305 | NPPES |
| Tennessee | MEDICAID | 3693205 |
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