Individual
NICOLE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
202 PLUMMER ST, CAMPTON, KY 41301-9381
(606) 668-7385
(606) 668-7009
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4080
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4080
LCSW LICENSURE
KY
05
—
7100348990
—
KY
Enumeration date
03/18/2010
Last updated
02/27/2024
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