Individual
ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
240 BERKELEY PL, BROOKLYN, NY 11217-3802
(718) 230-4826
Mailing address
61 E 3RD ST, BROOKLYN, NY 11218-1021
(718) 230-4826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R027149-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-027149-1
SOCIALWORKCERTIFICATION
NY
Enumeration date
04/06/2007
Last updated
07/08/2007
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