Individual
KENDRA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106977
TX
1041C0700X
Clinical Social Worker
113622
CA
1041C0700X
Clinical Social Worker
C11216
MS
1041C0700X
Clinical Social Worker
CSW007893
GA
1041C0700X
Clinical Social Worker
LW61337620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629545074
—
WA
Enumeration date
10/24/2018
Last updated
08/01/2025
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