LISA MARIA SMALLWOOD (NPI# 1194024778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194024778 |
Entity Type | Individual |
Full Name | LISA MARIA SMALLWOOD |
Credential | LPC,CAC II, NCAC |
Practice Address |
5422 Pinefield Rd Sumter SC 29154-1020 |
Practice Telephone | 8033160402 |
Mailing Telephone | 8033160402 |
Enumeration Date | 2011-03-21 |
Last Update Date | 2011-03-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5061 | SC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801060835 | Lisa Anjonette Smallwood | Nurse Practitioner | 542 Uptown Sq, Murfreesboro, TN 37129-0589 | 2008-04-22 |
1730378191 | Lisa Anne Smallwood | Counselor | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 | 2007-10-22 |
Street Address |
5422 PINEFIELD RD |
City | SUMTER |
State | SC |
Zip Code | 29154-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
1245700855 | Good Samaritan Way | Home Health | 3340 Laurderdale Lane, Sumter, SC 29154 | 2018-11-27 |
1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
1528454253 | Royal Homecare & Healthcare Staffing, LLC | Nursing Care | 1199 Floyd Dr, Sumter, SC 29154 | 2015-04-09 |
1891947305 | Therapy 4 Kids LLC | Physical Therapist | 3265 Tamarah Way, Sumter, SC 29154 | 2008-10-15 |
1326254046 | Lisa Jeffus Smith | Physician Assistant | 1761 Pinewood Road, Agape Physicians Care, Sumter, SC 29154 | 2007-05-16 |
1588792998 | Dental Team of Sumter, P.a. | Dentist | 5635 Broad St Ext, Sumter, SC 29154 | 2007-02-28 |
1992893465 | Robert Capers Lee | Dentist | 5635 Broad Street Ext, Sumter, SC 29154 | 2006-10-10 |
1225363336 | Arian L. Ray Dds Pa | Dentist | 625 Constitution Drive, Sumter, SC 29154 | 2009-10-07 |
1912146523 | Sarah E Pope | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
Find all providers in zip 29154 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518450873 | Cleyardis Melody Mcdonald-amaker | Counselor | 115 N Harvin St Fl 3, Sumter, SC 29150-4956 | 2018-06-12 |
1467842856 | Gissell Cravener | Counselor | 115 North Harvin Street, Sumter, SC 29151-0039 | 2015-01-23 |
1043215569 | Sumter County Commission On Alcohol and Drug | Counselor | 115 N Harvin St, Sumter, SC 29150-4956 | 2005-06-21 |
1821557059 | Jada Andantia Adams | Counselor | 441 N Main St, Sumter, SC 29150-4232 | 2019-03-18 |
1902372527 | Kaneisha Tierra Whack | Counselor | 525 N Lafayette Dr, Sumter, SC 29150-4347 | 2018-10-22 |
1780040469 | Catherine Wilder-williams | Counselor | 441 N Main St, Sumter, SC 29150-4232 | 2016-01-11 |
1225412380 | Annie Day | Counselor | 441 N Main St, Sumter, SC 29150-4232 | 2015-07-17 |
1275957664 | Terri T Mcclerklin | Counselor | 441 N Main St, Sumter, SC 29150-4232 | 2014-02-06 |
1215369343 | Ivan Thomas Sanders | Counselor | 115 N Harvin St, Sumter, SC 29150-4956 | 2013-07-31 |
1457798373 | Agartha Ajoa Boateng | Counselor | 441 N Main St, Sumter, SC 29150-4232 | 2013-06-01 |
Find all providers in SUMTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.