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CLARENCE RUSSELL SMITH MSW
NPI 1104434638
Peer Specialist in Oklahoma City, OK

Active since July 21, 2020
1311 N LOTTIE AVE, OKLAHOMA CITY, OK 73117(405) 600-3074(405) 605-8120 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clarence Russell Smith Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARENCE RUSSELL SMITH MSW (NPI 1104434638) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1104434638
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCLARENCE RUSSELL SMITHCredential: MSW
Location Address1311 N LOTTIE AVEOklahoma City, OK 73117-2051
Mailing Address1311 N Lottie AveOklahoma City, OK 73117-2051 · (405) 600-3074 · Fax (405) 605-8120
Phone(405) 600-3074
Fax(405) 605-8120
Sole ProprietorNo
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1104434638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
1311 N LOTTIE AVE, Oklahoma City, OK 73117
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Other Names 1

Professional Name (2)Mr. Clarence R Smith Msw

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SARA MEZA
Peer Specialist
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3074
MR. PAUL LAMONT STEPHENS
Peer Specialist
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3074
JAMES ROBERTS
Contractor
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3074
LINDSAY YISRAEL
Peer Specialist
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (509) 230-1542
RICKY BATES
Technician, Other
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3074
DONALD CHRISTOPHER CHASTAIN
Peer Specialist
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3074
SUSAN MORTON MALLOY
Student in an Organized Health Care Education/Training Program
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3103
MR. CEDRICK JOHNSON
Case Manager/Care Coordinator
1311 N LOTTIE AVE
OKLAHOMA CITY, OK 73117
Oklahoma County (405) 600-3074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarence Smith's NPI number?

The NPI number for Clarence Smith is 1104434638. It was assigned to this individual provider in the NPPES registry on July 21, 2020. The provider is also known as Mr. Clarence R Smith Msw.

Where is Clarence Smith located?

Clarence Smith practices at 1311 N Lottie Ave, Oklahoma City, OK 73117. The listed phone number is (405) 600-3074.

What is Clarence Smith's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Clarence Smith was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.