Smith, Craig T.
Smith, Craig T. is an sole proprietor health care provider with primary practice located at 503 W 2600 S # N , Bountiful UT 84010-7717. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Craig T. can be contacted via phone (801) 357-9475.Contact Information
Primary practice address
503 W 2600 S # N
Bountiful UT 84010-7717
Phone: (801) 357-9475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 77314983502 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 77314983501 | Utah |
Profile Details
| NPI number | 1124326624 |
|---|---|
| LBN Legal business name | Smith, Craig T. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2011 |
| Last updated | Jun 10th, 2019 - about 7 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 | 1124326624 | NPPES |
| Utah | Other | 260022408 | RAILROAD MEDICARE |
| Utah | MEDICAID | 876000308007 | RAILROAD MEDICARE |
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