IndividualActive
Justin Smiley, MSW
NPI 1053392910 · Social Worker · Plummer, ID
Provider details
- NPI number
- 1053392910
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Male
- License
- SOCIAL WORK 24211 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1115 B Street
Plummer, ID 83851
Phone: (208) 686-1449
Fax: (208) 686-5813
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 388
Plummer, ID 83851-0388
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.