Provider Demographics
NPI:1669649455
Name:SMITH, MEREDITH MARIE (LCSW, CART)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW, CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13235 KERRVILLE FOLKWAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729
Mailing Address - Country:US
Mailing Address - Phone:512-751-9592
Mailing Address - Fax:
Practice Address - Street 1:13235 KERRVILLE FOLKWAY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7842
Practice Address - Country:US
Practice Address - Phone:512-751-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical