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Individual

DR. NANCY J. SMYTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LCSW, CASAC

Contact information

Practice address
434 DELAWARE AVE, BUFFALO, NY 14202-1515
(716) 881-4065
(716) 881-4066
Mailing address
434 DELAWARE AVE, BUFFALO, NY 14202-1515
(716) 881-4065
(716) 881-4066

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4033
NY
1041C0700X
Clinical Social Worker
R035614
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205649
VALUE OPTIONS
NY
01
213705
COMPSYCH
NY
Enumeration date
02/26/2007
Last updated
09/11/2025
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