Michael D Smith, LCSWR
Social Worker in Bay Shore, NY. Individual provider (NPI-1).
NPI number1932172012
StatusActive
Last updated in NPPESApr 3, 2008
Details
- NPI
- 1932172012
- Entity type
- Individual (NPI-1)
- Name
- Michael D Smith
- Credential
- LCSWR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2006
- Last updated
- Apr 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | R0551041 | NY | Yes |
Practice location
260 Montauk HwySte-8
Bay Shore, NY 11706
Phone 631-647-9009
Mailing address
260 Montauk HwySte-8
Bay Shore, NY 11706
Phone 631-647-9009
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All 106 Social Worker providers in Bay Shore · All 2,254 providers in Bay Shore
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