Doctor Name: | MR. DAVID F SMITH |
NPI Number: | 1962546507 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 006266 |
Business Practice Address: | 27 W Main St 301 New Britain, CT - 060514207 |
Business Phone Number: | 8608263371 |
Business Fax Number: | 8608263367 |
Mailing Address: | 99 Saint James St, WEST HARTFORD |
State: | CT |
Postal Code: | 061192341 |
Phone Number: | 8602319415 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |