Jeremy A Smith, LSW

NPI #1174094197 in Champaign, Illinois

Provider Information

NPI Number: 1174094197
Entity Type: Individual
Name: Jeremy A Smith, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Dec 17, 2018
Last Updated: Dec 3, 2025

Practice Location

Address: 2101 FOX DRIVE SUITE 102
City: Champaign
State: Illinois
ZIP Code: 61820-8195
Phone: (217) 766-0258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Case Manager/Care Coordinator	171M00000X

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