Provider Demographics
NPI:1356458269
Name:ACKERET-SMITH, BARBARA K (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:ACKERET-SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 SE LINDSEY ST
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:AR
Mailing Address - Zip Code:72433-2224
Mailing Address - Country:US
Mailing Address - Phone:870-869-1500
Mailing Address - Fax:
Practice Address - Street 1:609 W 3RD ST
Practice Address - Street 2:
Practice Address - City:IMBODEN
Practice Address - State:AR
Practice Address - Zip Code:72434-9099
Practice Address - Country:US
Practice Address - Phone:870-869-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR891-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5S782Medicare ID - Type Unspecified