Individual
MRS. CANDACE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MPH
Contact information
Practice address
1011 WASHINGTON AVE, BRONX, NY 10456-6619
(718) 585-4205
Mailing address
PO BOX 753215, BRONX, NY 10475-0763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083794
NY
Other
Enumeration date
03/22/2016
Last updated
02/09/2026
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