Provider Demographics
NPI:1730967167
Name:SMITH, ERIC DEWAYNE II (LCSW)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DEWAYNE
Last Name:SMITH
Suffix:II
Gender:M
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:WORMINGTON BUILDING, 212 E VIRGINIA ST
Mailing Address - Street 2:SUITE 4, 5, 6
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069
Mailing Address - Country:US
Mailing Address - Phone:469-333-6163
Mailing Address - Fax:
Practice Address - Street 1:WORMINGTON BUILDING, 212 E VIRGINIA ST
Practice Address - Street 2:SUITE 4, 5, 6
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069
Practice Address - Country:US
Practice Address - Phone:469-333-6163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1096211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical