| Carol G Smith, LCSW | |
|
83 Wellness Way Fl 2, Benton, KY 42025-7156 | |
| (270) 527-0045 | |
| (270) 527-0075 |
| Full Name | Carol G Smith |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 83 Wellness Way Fl 2, Benton, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346323227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05550 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5144 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fredonia Regional Hospital | Fredonia, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital District No 1 Crawford County | 3476464538 | 21 |
| Rush County Memorial Hospital | 3476564840 | 6 |
| Konza Prairie Community Health Center Inc | 3779483466 | 18 |
| Fredonia Regional Hospital | 5294783270 | 11 |
| Entity Name | Konza Prairie Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447247663 PECOS PAC ID: 3779483466 Enrollment ID: O20040109000751 |
| Entity Name | Stanton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003964677 PECOS PAC ID: 7315939915 Enrollment ID: O20040928001306 |
| Entity Name | Wilson County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992842942 PECOS PAC ID: 0042273971 Enrollment ID: O20041119000995 |
| Entity Name | Fredonia Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285634006 PECOS PAC ID: 5294783270 Enrollment ID: O20050302000768 |
| Entity Name | Rush County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1841240959 PECOS PAC ID: 3476564840 Enrollment ID: O20060929000525 |
| Entity Name | Grow Healthcare Group Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831848316 PECOS PAC ID: 1355710229 Enrollment ID: O20221215002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol G Smith, LCSW 83 Wellness Way Fl 2, Benton, KY 42025-7156 Ph: (270) 527-0045 | Carol G Smith, LCSW 83 Wellness Way Fl 2, Benton, KY 42025-7156 Ph: (270) 527-0045 |