Individual provider · NPI-1

Kenya Smith, LMSW

Social Worker · Ellenwood, GA

NPI number1548900962
StatusActive
Last updated in NPPESApr 1, 2022

Details

NPI
1548900962
Entity type
Individual (NPI-1)
Name
Kenya Smith
Credential
LMSW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2022
Certification date
Feb 19, 2022
Last updated
Apr 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerMSW009939GAYes

Practice location

4025 Lucas Ln
Ellenwood, GA 30294-2069

Phone 678-521-8535

Mailing address

6919 W 141st Ter Apt 1401
Overland Park, KS 66223-4814

Phone 678-521-8535

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