Smith, Daniel T

Smith, Daniel T is an individual health care provider with primary practice located at 901 Tuscarawas St E , Canton OH 44707-3152. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), 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, Daniel T can be contacted via phone (330) 205-9515.

Contact Information

Primary practice address
901 Tuscarawas St E Canton OH 44707-3152
Phone: (330) 205-9515
Fax: (330) 754-6253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.141762 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC162119 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1904462 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2204169 Ohio

Profile Details

NPI number 1164962031
LBN Legal business name Smith, Daniel T
Credentials LISW, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Jan 20th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164962031 NPPES
Ohio MEDICAID 0375118

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