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Contact Information

KELLY R SMITH, LCSW, ACSW
600 CENTRAL AVE STE 208
GREAT FALLS, MT59401
 Phone: 406-231-1775
 Fax: 406-403-0660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KELLY R SMITH · (Female)

NPI # 1225049901
Status Active
Credentials LCSW, ACSW
Entity Individual
Enumeration date 08/10/2006
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 743-LCSW
  • MT Other 0000071565 BLUE CROSS/SHIELD OF MONT
  • WY Other LCSW-503 WYOMING LCSW LICENSE
Hospital affiliation(s) Not Available
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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