Individual
CHERYL ANN SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
206 W NORTH 1ST ST, SUITE C, SENECA, SC 29678-3250
(864) 888-4211
(888) 671-7027
Mailing address
PO BOX 8035, SENECA, SC 29678-0001
(864) 888-4211
(888) 671-7027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q352380281
MEDICARE PTAN
SC
Enumeration date
10/12/2006
Last updated
01/19/2011
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