Individual
CARISSA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6847 N 9TH AVE STE A145, PENSACOLA, FL 32504-7396
(813) 420-4456
(850) 595-1400
Mailing address
6847 N 9TH AVE STE A145, PENSACOLA, FL 32504-7396
(813) 420-4456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW09930761
CO
1041C0700X
Clinical Social Worker
Primary
SW12921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012372100
—
FL
Enumeration date
07/08/2014
Last updated
10/08/2024
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