Individual ProviderBrian A SmithSocial WorkerBehavioral Health & Social Service ProvidersPractice Address119 W 1st St, Suite 110, Dixon, IL 61021-3056(815) 285-3073PECOS EnrollmentBased on the most recent information from CMS, provider Brian A 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 12:57 PM.Profile DetailsProvider ID1952414070Provider TypeIndividualFull NameSmith, Brian ACredentialMSW, LCSWGenderMaleSole ProprietorNoEnumeration Date8/15/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address119 W 1st St, Suite 110, Dixon, IL 61021-3056Phone(815) 285-3073Fax(815) 285-3103Mailing LocationMailing Address119 W 1st St, Suite 110, Dixon, IL 61021-3056Phone(815) 285-3073Fax(815) 285-3103Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerIllinois