Healthcare Provider Details

I. General information

NPI: 1699698613
Provider Name (Legal Business Name): S.M.O.O.T.H. TRANSITIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 LAMSON RD
BUFFALO NY
14223-2534
US

IV. Provider business mailing address

11 LAMSON RD
BUFFALO NY
14223-2534
US

V. Phone/Fax

Practice location:
  • Phone: 716-930-6481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: SHERRELL MCLEAN
Title or Position: OWNER
Credential: LCSW, PMH-C, CLC
Phone: 716-930-6481