Provider Demographics
NPI:1477753242
Name:SMITH, CAROL FRANCES (LMSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:FRANCES
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:KS
Mailing Address - Zip Code:66771-0302
Mailing Address - Country:US
Mailing Address - Phone:620-449-2527
Mailing Address - Fax:620-449-2527
Practice Address - Street 1:635 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:KS
Practice Address - Zip Code:66771-0302
Practice Address - Country:US
Practice Address - Phone:620-449-2527
Practice Address - Fax:620-449-2527
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMSW2518104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker