Individual
MS. AMY MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 HAMPSTEAD VLG, HAMPSTEAD, NC 28443-8250
(910) 270-3811
(910) 270-3897
Mailing address
75 HAMPSTEAD VLG, HAMPSTEAD, NC 28443-8250
(910) 270-3811
(910) 270-3897
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130 XT
BCBS IND. #
NC
01
—
186473
MEDCOST
NC
05
—
6002278
—
NC
Enumeration date
03/15/2007
Last updated
07/09/2007
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