Smith, Thomas Michael

Smith, Thomas Michael is an individual health care provider with primary practice located at 90 Hope Dr Bldg 1900 , Mountain Home Afb ID 83648. 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, Thomas Michael can be contacted via phone (208) 828-7580.

Contact Information

Primary practice address
90 Hope Dr Bldg 1900 Mountain Home Afb ID 83648
Phone: (208) 828-7580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW125549 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016654 Pennsylvania

Profile Details

NPI number 1306051065
LBN Legal business name Smith, Thomas Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jun 27th, 2018 - about 8 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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