| Cynthia G Smith, LCSW | |
|
261 Highway 132, Mangham, LA 71259-5269 | |
| (318) 248-2807 | |
| (318) 812-6603 |
| Full Name | Cynthia G Smith |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 261 Highway 132, Mangham, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053046631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6931 (Louisiana) | Primary |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Entity Name | Thinktrek Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215415229 PECOS PAC ID: 1951754951 Enrollment ID: O20240125003776 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia G Smith, LCSW Po Box 51193, Lafayette, LA 70505-1193 Ph: (318) 807-7875 | Cynthia G Smith, LCSW 261 Highway 132, Mangham, LA 71259-5269 Ph: (318) 248-2807 |
Suanne Grace Ford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3762 Highway 15, Mangham, LA 71259 Phone: 318-547-8888 | |
Mr. Christopher Blake Leblanc, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 261 Highway 132, Mangham, LA 71259 Phone: 318-248-2807 Fax: 318-248-2967 |