Individual
SHIRLEY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 S MINT ST, STE 101, CHARLOTTE, NC 28203-4049
(704) 379-1850
(704) 335-1395
Mailing address
1100 S MINT ST, STE 101, CHARLOTTE, NC 28203-4049
(704) 379-1850
(704) 335-1395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C001183
NC
104100000X
Social Worker
Primary
C001183
NC
1041C0700X
Clinical Social Worker
C001183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006204
—
NC
05
—
6006205
—
NC
Enumeration date
11/03/2009
Last updated
03/19/2010
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