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Individual

ANNA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2631 MERRICK RD STE 302, BELLMORE, NY 11710-5784
(516) 590-7575
Mailing address
10951 132ND ST, SOUTH OZONE PARK, NY 11420-1708

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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