CLARENCE RUSSELL SMITH MSW NPI 1104434638

NPI Information

Clarence Russell Smith, MSW is a peer specialist in Oklahoma City, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Clarence Russell Smith, MSW NPI is 1104434638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1311 N LOTTIE AVE
OKLAHOMA CITY, OK
ZIP 73117-051
Phone: (405) 600-3074
Fax: (405) 605-8120

The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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