Individual
AISHA DENICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
40 RECTOR ST, 14TH FLOOR, NEW YORK, NY 10006-1705
(212) 832-7605
Mailing address
3333 BROADWAY APT E28E, NEW YORK, NY 10031-8719
(347) 322-6392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100117
MENTAL HEALTH
NY
Enumeration date
04/14/2017
Last updated
04/14/2017
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