Individual
MR. DONALD F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Contact information
Practice address
3266 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 436-5986
(260) 436-1859
Mailing address
3266 MALLARD COVE LN, FORT WAYNE, IN 46804-2883
(260) 436-5986
(260) 436-1859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34001688A
IN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210319
ANTHEM BCBS
IN
01
—
064062000
MAGELLAN
—
01
—
090762
MHN
—
Enumeration date
03/10/2007
Last updated
02/26/2025
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