Provider Demographics
NPI:1124018718
Name:SMITH, ROBERT FRANCIS (LSW, CAC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:SMITH
Suffix:
Gender:M
Credentials:LSW, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 SCHOOL LINE DR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3511
Mailing Address - Country:US
Mailing Address - Phone:484-686-4903
Mailing Address - Fax:610-491-9253
Practice Address - Street 1:2500 DEKALB PIKE
Practice Address - Street 2:SUITE 206, THE COTTAGE
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2007
Practice Address - Country:US
Practice Address - Phone:484-686-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW010318L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical