Individual
DEREK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4102 N 45TH ST, MILWAUKEE, WI 53216-1521
(414) 544-8515
Mailing address
4102 N 45TH ST, MILWAUKEE, WI 53216-1521
(414) 544-8515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
09/11/2025
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