Individual
OLIVIA G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 625-5250
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 620-3990
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12355756730
OPTUM
ID
Enumeration date
09/30/2019
Last updated
06/26/2025
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