Vonda Smith, LMSW
Individual provider Active NPI Social Worker · Saint Anthony, ID
NPI 1972940229 · NPPES record last updated May 28, 2013
Key facts
- NPI
- 1972940229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LMSW-32900 (ID)
- Practice address
- 104 N Bridge St
#104
Saint Anthony, ID 83445-1455 - Phone
- (208) 624-2006
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-32900 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Mental Health Resources | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-32900 | ID | Yes |
Addresses
Primary practice location
104 N Bridge St
#104
Saint Anthony, ID 83445-1455
Mailing address
PO Box 281
Saint Anthony, ID 83445-0281
Phone (208) 624-2006
Other providers in Saint Anthony, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.