Individual
MS. NANCY M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LAC
Contact information
Practice address
304 4TH AVE E, SUPERIOR, MT 59872-3075
(406) 822-5422
(406) 324-7062
Mailing address
89 MILL CREEK RD, SAINT REGIS, MT 59866-9710
(406) 649-2761
(406) 822-5423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
765
MT
1041C0700X
Clinical Social Worker
635
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503183
—
MT
01
—
5588
MONTANA STATE LICENSE
MT
01
—
70675
BLUE CROSS BLUE SHIELD
MT
01
—
780552000
MAGELLAN
MT
Enumeration date
11/09/2006
Last updated
10/07/2024
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