Provider Demographics
NPI:1104031673
Name:SMITH, B. KAY (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:B.
Middle Name:KAY
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:BOBBIE
Other - Middle Name:KAY
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1005 N.W. 38TH STREET
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-7117
Mailing Address - Country:US
Mailing Address - Phone:405-521-8503
Mailing Address - Fax:405-521-8503
Practice Address - Street 1:3037 NW 63RD ST
Practice Address - Street 2:STE 100W
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3608
Practice Address - Country:US
Practice Address - Phone:405-830-2286
Practice Address - Fax:405-443-3682
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical