Jakob E. Smidt, LCSW
Counselor, Mental Health in Buffalo, NY. Individual provider (NPI-1).
NPI number1861523391
StatusActive
Last updated in NPPESNov 25, 2022
Details
- NPI
- 1861523391
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jakob E. Smidt
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2007
- Certification date
- Nov 25, 2022
- Last updated
- Nov 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 089816 | NY | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
375 Linwood AveBuffalo, NY 14209-1663
Phone 716-222-1958
Mailing address
375 Linwood AveBuffalo, NY 14209-1663
Phone 716-222-1958
Other practice locations
430 Niagara St.
Buffalo, NY 14201
Buffalo, NY 14201
Phone 716-856-2587 · Fax 716-586-2608
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