NPI 1013206606

Carroll Paul Smith, LCSW

Practitioner Clinical Social Worker Ridgeland, MS

Practice location

Address: 720 Avignon Dr Suite 3, Ridgeland, MS 39157-5166
Phone: (601) 259-6714
Fax: (601) 605-2710
Mailing address: 225 Dublin CT, Brandon, MS 39047-8035

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C0876 (MS)

Other Social Worker providers in Mississippi →

Registry record

NPI: 1013206606
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2011
Record last updated: 4 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.