Individual
CRAIG T. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
503 W 2600 S # N, BOUNTIFUL, UT 84010-7717
(801) 357-9475
Mailing address
PO BOX 414, KAYSVILLE, UT 84037-0414
(801) 357-9475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
77314983502
UT
1041C0700X
Clinical Social Worker
Primary
77314983501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
03/07/2011
Last updated
06/10/2019
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