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Kylie Nichole Smith, MSW, LCSW

Social Worker, Clinical in Saint Louis, MO. Individual provider (NPI-1).

NPI number1366073322
StatusActive
Last updated in NPPESSep 8, 2021

Details

NPI
1366073322
Entity type
Individual (NPI-1)
Name
Kylie Nichole Smith
Credential
MSW, LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2020
Certification date
Sep 8, 2021
Last updated
Sep 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical2019030412MOYes
1041C0700X Social Worker, ClinicalCW020919PA

Other names

  • Kylie McCarver (Former Name)

Practice location

12110 Clayton Rd
Saint Louis, MO 63131-2599

Phone 314-989-8100

Mailing address

12110 Clayton Rd
Saint Louis, MO 63131-2599

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