Michael Smith, LSW

NPI #1689216079 in Lake Villa, Illinois

Provider Information

NPI Number: 1689216079
Entity Type: Individual
Name: Michael Smith, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Oct 17, 2019
Last Updated: Feb 24, 2025

Practice Location

Address: 89 CEDAR AVE
City: Lake Villa
State: Illinois
ZIP Code: 60046-8411
Phone: (847) 265-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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