MEDICARE: SIMONE SMITH LPC

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
1	101YP2500X	Professional Counselor	37PC00819700	NJ

General Provider Information

NPI Number	:	1962150920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE SMITH LPC

Provider Business Mailing Address
First Line	:	406 BRANDYWINE DR
Second Line	:
City	:	WILLIAMSTOWN
State	:	NJ
Zip	:	08094-1690
Country	:	US
Telephone Number	:	609-271-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 BRANDYWINE DR
Second Line	:
City	:	WILLIAMSTOWN
State	:	NJ
Zip	:	08094-1690
Country	:	US
Telephone Number	:	609-271-2552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	03/14/2026

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Directions to “ SIMONE SMITH LPC” Practice Location

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