Provider Demographics
NPI:1457605248
Name:THOMPSON-SMITH, CHERIE (BSW/LSW)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:
Last Name:THOMPSON-SMITH
Suffix:
Gender:F
Credentials:BSW/LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 S SMITHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45420-2668
Mailing Address - Country:US
Mailing Address - Phone:937-258-4253
Mailing Address - Fax:
Practice Address - Street 1:2745 S SMITHVILLE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-2668
Practice Address - Country:US
Practice Address - Phone:937-258-4253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0031997104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker