| Linda J Smith Lcsw Pllc | |
|
4 Cliftwood Dr Huntington NY 11743-2103 | |
| (631) 385-3197 | |
| (631) 470-0324 |
| Full Name | Linda J Smith Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Cliftwood Dr, Huntington, New York |
| Authorized Official Name and Position | Linda Smith (LCSW) |
| Authorized Official Contact | 6313853197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda J Smith Lcsw Pllc 4 Cliftwood Dr Huntington NY 11743-2103 Ph: (631) 385-3197 | Linda J Smith Lcsw Pllc 4 Cliftwood Dr Huntington NY 11743-2103 Ph: (631) 385-3197 |
| NPI Number | 1881066298 |
|---|---|
| Provider Enumeration Date | 10/25/2015 |
| Last Update Date | 10/25/2015 |
| Medicare PECOS PAC ID | 9335426097 |
|---|---|
| Medicare Enrollment ID | O20170505000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881066298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 039047 (New York) | Primary |
| Provider Name | Linda J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861682403 PECOS PAC ID: 4284623471 Enrollment ID: I20040511001836 |
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