Individual
KIM HILL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
3209 WEST 76TH STREET, SUITE 204, EDINA, MN 55435-5246
(952) 285-5566
(952) 925-5614
Mailing address
3209 WEST 76TH STREET, SUITE 204, EDINA, MN 55435-5246
(952) 285-5566
(952) 925-5614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105528
UCARE MINNESOTA
MN
01
—
201129
MANAGED HEALTH NETWORK
CA
01
—
23G04SM
BLUE CROSS BLUE SHIELD
MN
01
—
40058
BEHAVIORAL HEALTHCARE PRO
MN
05
—
697921100
—
MN
01
—
HP19015
HEALTH PARTNERS
MN
Enumeration date
11/20/2006
Last updated
12/10/2018
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