MEDICARE: KIMBERLY SMITH

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	104100000X	Social Worker	124788	NY

General Provider Information

NPI Number	:	1962330076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SMITH

Provider Business Mailing Address
First Line	:	1079 CLARKSON AVE APT 2R
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-2151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1079 CLARKSON AVE APT 2R
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-2151
Country	:	US
Telephone Number	:	718-419-6497
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

Similar Medicare Providers

1215043708 — DR. DENNIS JAMES ALNE PH.D
Practice Location Address:

2151 E 22ND ST
BROOKLYN, NY
11229-3642

Practice Phone: 718-769-4001
Practice Fax: 732-536-4914

1023112885 — CVS ALBANY LLC
Practice Location Address:

2151 86TH ST
BROOKLYN, NY
11214-3205

Practice Phone: 718-266-5000
Practice Fax:

1740378819 — MR. HOWARD STEIN LCSW
Practice Location Address:

2151 E 22ND ST
BROOKLYN, NY
11229-3642

Practice Phone: 212-874-2385
Practice Fax:

1194814061 — MS. RUTH STEIN LCSW
Practice Location Address:

2151 E 22ND ST
BROOKLYN, NY
11229-3642

Practice Phone: 718-633-7914
Practice Fax: 718-633-3484

1033322714 — KEITH DRAKES
Practice Location Address:

159 HALSEY ST
BROOKLYN, NY
11216-2151

Practice Phone: 917-703-5474
Practice Fax:

1649457128 — LISA TSE
Practice Location Address:

2151 86TH ST
BROOKLYN, NY
11214-3205

Practice Phone: 718-266-5000
Practice Fax:

Directions to “ KIMBERLY SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.