Taylor L. Smith
Taylor L. Smith is a Clinical Social Worker in Bend, Oregon. Qualified in 2022, 4 years ago. Registered with an NPI since 2020.
- Years since qualifying
- 4
- In the registry since
- 2020
Practice location Address checks out
2065 NE Tucson Way Apt 110Bend, OR 97701-5182
Phone: (541) 383-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1902414469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2020 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 2065 Ne Tucson Way Apt 110, Bend, OR 97701-5182 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
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