Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corry Smith

Individual provider Clinical Social Worker · NPI 1972010882

Corry Smith is a Clinical Social Worker in Nampa, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
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Practice location Address checks out

85 S Middleton Rd
Nampa, ID 83651-1526
Phone: (208) 505-2800
Fax: (208) 505-2801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 N Freedom Blvd, Provo, UT 84601-1677 — (801) 373-4760

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-45159 (ID)

Record details

NPI number1972010882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2018
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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