Michael Smith, LSW Valid NPI
Individual provider · Social Worker · Lake Villa, IL
- NPI
- 1689216079
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-10-17
- Last updated
- 2025-02-24
Practice location
89 Cedar Ave
Lake Villa, IL 60046-8411
(847) 265-7300