Healthcare Provider Details

I. General information

NPI: 1053231365
Provider Name (Legal Business Name): ZACHARIAH SMART LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST STE 1510
BROOKLYN NY
11242-0103
US

IV. Provider business mailing address

26 COURT ST STE 1510
BROOKLYN NY
11242-0103
US

V. Phone/Fax

Practice location:
  • Phone: 718-522-3600
  • Fax: 718-522-3667
Mailing address:
  • Phone: 718-522-3600
  • Fax: 718-522-3667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number124796
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: