Provider Demographics
NPI:1548008261
Name:SMITH, THOMAS D JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:D
Last Name:SMITH
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 INTERNATIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-4253
Mailing Address - Country:US
Mailing Address - Phone:205-813-7400
Mailing Address - Fax:
Practice Address - Street 1:2501 INTERNATIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-4253
Practice Address - Country:US
Practice Address - Phone:205-813-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6693G101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)