| Darlena K Smith | |
|
251 Guthrie Dr Bardstown KY 40004-2170 | |
| (502) 293-8926 | |
| Not Available |
| Full Name | Darlena K Smith |
|---|---|
| Speciality | Social Worker |
| Location | 251 Guthrie Dr, Bardstown, Kentucky |
| Authorized Official Name and Position | Darlena K Smith (OWNER) |
| Authorized Official Contact | 5022938926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darlena K Smith 251 Guthrie Dr Bardstown KY 40004-2170 Ph: (502) 293-8926 | Darlena K Smith 251 Guthrie Dr Bardstown KY 40004-2170 Ph: (502) 293-8926 |
| NPI Number | 1245000207 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 03/27/2025 |
| Certification Date | 03/27/2025 |
| Medicare PECOS PAC ID | 4486188752 |
|---|---|
| Medicare Enrollment ID | O20241108001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245000207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darlena Kay Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710675350 PECOS PAC ID: 4981067378 Enrollment ID: I20230901001041 |
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