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NPI Code Detail

MEDICARE: MS. STEFFENY SMITH LCSW

MEDICARE: MS. STEFFENY SMITH LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149007885IL

General Provider Information

NPI Number : 1851502496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEFFENY SMITH LCSW
Provider Business Mailing Address
First Line : 235 RIDGE RD APT 1H
Second Line :
City : WILMETTE
State : IL
Zip : 60091-3281
Country : US
Telephone Number : 773-720-2323
Fax Number :
Provider Business Practice Location Address
First Line : 2550 CRAWFORD AVE STE 18
Second Line :
City : EVANSTON
State : IL
Zip : 60201-4983
Country : US
Telephone Number : 773-720-2323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 01/31/2022

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Directions to “ MS. STEFFENY SMITH LCSW” Practice Location

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