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NPI Code Detail

MEDICARE: MS. RENA DARLENE SMITH LCSW, LAC

MEDICARE:  MS. RENA DARLENE SMITH  LCSW, LAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor742LA
21041C0700XClinical Social Worker5663LA

General Provider Information

NPI Number : 1851586663
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENA DARLENE SMITH LCSW, LAC
Provider Business Mailing Address
First Line : 235 W ESPLANADE AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70005-1406
Country : US
Telephone Number : 601-946-3650
Fax Number :
Provider Business Practice Location Address
First Line : 2601 TULANE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-7462
Country : US
Telephone Number : 504-826-2004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2007
Last Update Date : 09/14/2007

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Directions to “ MS. RENA DARLENE SMITH LCSW, LAC” Practice Location

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