Individual
MR. ROBERT LAMONT SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LCAS, CCS
Contact information
Practice address
402 HARRIS AVE, RAEFORD, NC 28376-3112
(910) 848-1638
(910) 848-1639
Mailing address
PO BOX 254, RAEFORD, NC 28376-0254
(910) 848-1638
(910) 848-1639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1054
NC
1041C0700X
Clinical Social Worker
1104
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111911
—
NC
05
—
6111911
—
SC
Enumeration date
03/02/2007
Last updated
03/28/2016
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