| Nicole E Smith, LCSW | |
|
202 Plummer St, Campton, KY 41301-9381 | |
| (606) 668-7385 | |
| (606) 668-7009 |
| Full Name | Nicole E Smith |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 202 Plummer St, Campton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649594797 | NPI | - | NPPES |
| 4080 | Other | KY | LCSW LICENSURE |
| 7100348990 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4080 (Kentucky) | Primary |
| Entity Name | Juniper Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407818628 PECOS PAC ID: 2961453618 Enrollment ID: O20050214000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole E Smith, LCSW Po Box 690, Beattyville, KY 41311-0690 Ph: (606) 464-0151 | Nicole E Smith, LCSW 202 Plummer St, Campton, KY 41301-9381 Ph: (606) 668-7385 |
Mr. Gary L Drake, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 239 Mt Parkway Spur, Campton, KY 41301 Phone: 606-688-6932 Fax: 606-668-3125 | |
Lillie Adams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131 Ky 15 N, Campton, KY 41301 Phone: 606-668-2090 Fax: 606-668-2092 | |
Mrs. Rachel Marie Combs, C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3085 Ky 1261, Campton, KY 41301 Phone: 606-216-1540 | |
Dee M Cole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Ky 15 N, Campton, KY 41301 Phone: 606-436-5761 Fax: 606-436-5797 |