Individual
MS. JOELLA JACQUELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4403 1ST AVE SE, STE 309, CEDAR RAPIDS, IA 52402-3200
(319) 362-0632
(319) 362-5206
Mailing address
4403 1ST AVE SE, STE 309, CEDAR RAPIDS, IA 52402-3200
(319) 362-0632
(319) 362-5206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01360
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474999
—
IA
01
—
13498
WELLMARK
—
01
—
164104
VALUE OPTIONS
—
01
—
175396
MHN
—
01
—
20032571405
JOHN DEERE
—
01
—
2223660
FIRST HEALTH
—
01
—
6273362
UBH
—
Enumeration date
01/09/2006
Last updated
02/18/2013
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