Smith, Mary

Smith, Mary is an sole proprietor health care provider with primary practice located at 1545 S Layton Blvd , Milwaukee WI 53215-1924. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Mary can be contacted via phone (414) 902-1500.

Contact Information

Primary practice address
1545 S Layton Blvd Milwaukee WI 53215-1924
Phone: (414) 902-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X Wisconsin

Profile Details

NPI number 1942412804
LBN Legal business name Smith, Mary
Credentials M.S.W. CAPSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Sep 11th, 2025 - about last year

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 1942412804 NPPES
Wisconsin MEDICAID 40987400

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