Individual ProviderNicole Dawn SmithSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1085 Maple St, Farmington, MO 63640-1955(573) 756-5353PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Dawn Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1881939759Provider TypeIndividualFull NameSmith, Nicole DawnCredentialBSWGenderFemaleSole ProprietorNoEnumeration Date12/4/2012Last Updated12/4/2012Contact InformationPractice LocationPractice Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 756-5353Fax(573) 756-4557Mailing LocationMailing Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 756-5353Fax(573) 756-4557Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer