Jennifer E Smith

Individual provider Active NPI Case Manager/Care Coordinator · Carmichaels, PA

NPI 1801005228 · NPPES record last updated Apr 7, 2008

Key facts

NPI
1801005228
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
601 W George St
Carmichaels, PA 15320-1325
Phone
(724) 966-5081
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

601 W George St
Carmichaels, PA 15320-1325

Mailing address

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Other identifiers

IdentifierTypeStateIssuer
1007288440093MedicaidPA
328834A764918OtherPAVALUE BEHAVIORIAL HEALTH

Other providers in Carmichaels, PA

All providers in Carmichaels, PA · Case Manager/Care Coordinator in Pennsylvania

Sources for this page

Verify at the official NPI Registry.