Provider Demographics
NPI:1578602223
Name:SMITH, ROB F (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROB
Middle Name:F
Last Name:SMITH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:F
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:6429 SUNNYLAND LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3188
Mailing Address - Country:US
Mailing Address - Phone:214-543-5449
Mailing Address - Fax:
Practice Address - Street 1:8035 EAST R L THORNTON FREEWAY
Practice Address - Street 2:SUITE #503
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228
Practice Address - Country:US
Practice Address - Phone:214-319-9200
Practice Address - Fax:214-319-9209
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07705104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101204901Medicaid
TX10009262OtherCHIP AMERIGROUP
TX62308OtherCIGNA
TX128628OtherNORTHSTAR VALUE OPTIONS