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NPI 1033990072

NPI 1033990072 : SYDNEY SMYK LCSW : LEWES, DE

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General NPI Number Information
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    NPI Number           |    1033990072
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    Entity Type          |    Individual 
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    Provider Name        |    SYDNEY SMYK LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2023
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    Last Update Date     |    01/25/2024
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Provider Practice Location Address
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    Address Line         |    16529 COASTAL HWY UNIT 120 
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    City                 |    LEWES
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    State                |    DE
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    Zip                  |    19958-3697
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    Country              |    US
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    Telephone            |    302-519-9041
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    Fax                  |    302-644-6768
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Provider Business Mailing Address
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    Address Line         |    16529 COASTAL HWY UNIT 120 
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    City                 |    LEWES
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    State                |    DE
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    Zip                  |    19958-3697
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    Country              |    US
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    Telephone            |    302-519-9041
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    Fax                  |    302-644-6768
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    Q1-0012339
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    Q1-0012339
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    License Number State |    DE
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