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Contact Information

ALEXANDER C. SMITH LCSW BCABA
8910 N DALE MABRY HWY
SUITE 12
TAMPA, FL33614-1591
 Phone: 813-422-0073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Behavior Analyst

103K00000X
 

School

1041S0200X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ALEXANDER C. SMITH LCSW BCABA

NPI Number 1134548837
LBN Legal business name ALEXANDER C. SMITH LCSW BCABA
Authorized official ALEXANDER SMITH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2014
Last updated 04/09/2014 - About 12 years ago
Identifiers
FL License # 0-07-2351
FL License # 977926
FL License # SW11223
NY License # 069781
FL Medicaid 766714100
FL Other 1114268521 INDIVIDUAL NPI
FL Other HK291A MEDICAIRE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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