Mickey O. Smith, LCSW,PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24960 Issued in TX

Legal business name

MICKEY O. SMITH, LCSW,PA

Practice address

1711 E Central Texas Expy
Suite 103
Killeen, TX 76541-9166

Phone

(254) 526-7272

Fax

(254) 526-3949

NPI assigned

Jul 14, 2009

Last updated

Jul 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mickey Orb Smith, LCSW, PANPI 1164438198

Title

LCSW, PA

Phone

(254) 526-7272

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mickey Orb Smith, LCSW,

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1164438198
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1427288257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-526-7272",
            "fax_number": "254-526-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-526-7272",
            "fax_number": "254-526-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKEY O. SMITH, LCSW,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "ORB",
        "authorized_official_title_or_position": "LCSW, PA",
        "authorized_official_telephone_number": "254-526-7272",
        "authorized_official_credential": "LCSW, PA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.