Provider Demographics
NPI:1962682625
Name:SMITH, JULIA H (LISW-CP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:H
Last Name:SMITH
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 HARBOR HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9369
Mailing Address - Country:US
Mailing Address - Phone:803-530-9994
Mailing Address - Fax:
Practice Address - Street 1:518 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3668
Practice Address - Country:US
Practice Address - Phone:803-530-9994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-11
Last Update Date:2007-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC66531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical