Provider Demographics
NPI:1083819940
Name:SMITH, DEBORAH F (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:F
Last Name:SMITH
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1084 JOHNS WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-8808
Mailing Address - Country:US
Mailing Address - Phone:727-403-3817
Mailing Address - Fax:
Practice Address - Street 1:1084 JOHNS WAY
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-8808
Practice Address - Country:US
Practice Address - Phone:727-403-3817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8172104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW8172OtherDOH LCSW
KY259447OtherBOARD OF SOCIAL WORK-LCSW