Individual
MS. ANITA LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9435 RIDGE BLVD, JBFCS BAYRIDGE COUNSELING CENTER, BROOKLYN, NY 11209
(718) 238-6444
(718) 238-5165
Mailing address
265 CLINTON ST, BROOKLYN, NY 11201
(718) 238-6444
(718) 238-5165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R039486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R039486B37
HEALTH FIRST
NY
Enumeration date
11/08/2006
Last updated
07/08/2007
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