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NPI Lookup from the NPI Registry — National Provider Identifier Database

CALVIN L SMITH, LCPC, LPC,CRC,LBP – NPI #1043464217
Professional


Contact Information

CALVIN L SMITH, LCPC, LPC,CRC,LBP
120 GEORGE STREET
BENSENVILLE, IL60106-0208
 Phone: 630-694-0446
 Fax: 877-822-7631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Assistive Technology Practitioner

225CA2400X
 

Assistive Technology Supplier

225CA2500X
 

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Rehabilitation Counselor

225C00000X
 

Rehabilitation Practitioner

225400000X
 

School

101YS0200X
Indicates primary specialty
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NPI Profile & details for CALVIN L SMITH · (Male)

NPI Number 1043464217
Credentials LCPC, LPC,CRC,LBP
Entity Individual
Enumeration date 11/13/2008
Last updated 07/22/2010 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
IL License # 00094293
IL License # 180007427
WI License # 00094293
WI License # 4122-125
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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