Individual
ANNA SMITH
Active
Individual
ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
106430
NY
1041C0700X
Clinical Social Worker
095005
NY
1041C0700X
Clinical Social Worker
Primary
44SC06225200
NJ
Other
Enumeration date
06/13/2017
Last updated
04/20/2026
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