Mrs Kim Marie Smith, LCSW, LMFT is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. Her current practice location is
3266 Mallard Cove Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 436-5986.
Mrs Kim Marie Smith is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558493056.
Healthcare Provider's Profile
Full Name | Mrs Kim Marie Smith |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3266 Mallard Cove Ln, Fort Wayne, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kim Marie Smith attended and graduated from in
NPI Data:
- NPI Number: 1558493056
- Provider Enumeration Date: 03/10/2007
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Kim Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558493056 | NPI | - | NPPES |
064061000 | Other | | MAGELLAN |
090831 | Other | | MHN |
000000200512 | Other | IN | ANTHEM BLUE CROSS BLUE SH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 34002738A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kim Marie Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kim Marie Smith, LCSW, LMFT 3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 Ph: (260) 436-5986 | Mrs Kim Marie Smith, LCSW, LMFT 3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 Ph: (260) 436-5986 |
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