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General NPI Number Information
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NPI Number | 1952260291
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Entity Type | Individual
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Provider Name | ALEXIS SMUTKO LSW
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1500 ROUTE 88
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City | BRICK
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State | NJ
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Zip | 08724-2320
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Country | US
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Telephone | 732-367-4700
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Fax | 732-367-9257
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Provider Business Mailing Address
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Address Line | 17 EASTPORT CT
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City | RED BANK
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State | NJ
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Zip | 07701-5431
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Country | US
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Telephone | 732-367-4700
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Fax | 732-367-9257
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 44SL07048800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 44SL07048800
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License Number State | NJ
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