Individual
CASWELL VINCENT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 CALIFORNIA DR, ROCHESTER, NY 14616-4209
(585) 290-2224
Mailing address
161 CALIFORNIA DR, ROCHESTER, NY 14616-4209
(585) 290-2224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107318
NY
1041S0200X
School Social Worker
107318
NY
Other
Enumeration date
09/05/2019
Last updated
06/29/2020
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