Individual provider · Type 1 NPI

Thomas Michael Smith, LCSW

Clinical Social Worker · Mountain Home Afb, ID

NPI number 1306051065 Active

Practice location

90 Hope Dr Bldg 1900
Mountain Home Afb, ID 83648

Mailing address

106 Offutt Rd
Hanscom Afb, MA 01731-2634

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XSW125549 (PA)
Clinical Social Worker Primary 1041C0700XCW016654 (PA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1306051065

Thomas Michael Smith, LCSW's National Provider Identifier is 1306051065, issued on May 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Jun 27, 2018.