Individual provider · Type 1 NPI

Annie Michele Smith, L.C.S.W.

Clinical Social Worker · Decatur, IL

NPI number 1902340730 Active

Practice location

1770 E Lake Shore Dr, #209
Decatur, IL 62521-3832

Call (217) 423-6500 Map

Mailing address

1770 E. Lake Shore Dr., #209
Decatur, IL 62522-3832

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.017107 (IL)

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 1902340730

Annie Michele Smith, L.C.S.W.'s National Provider Identifier is 1902340730, issued on Dec 13, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, IL. The record was last updated on Dec 13, 2016.