Provider Demographics
NPI:1386248425
Name:SMITH, WHITTNEY M (LMSW)
Entity type:Individual
Prefix:
First Name:WHITTNEY
Middle Name:M
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BROOKLYN COUNSELING SERVICES
Mailing Address - Street 2:7706 13TH AVENUE, ADMIN OFFICE IN REAT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228
Mailing Address - Country:US
Mailing Address - Phone:718-232-8600
Mailing Address - Fax:718-288-9314
Practice Address - Street 1:BROOKLYN COUNSELING SERVICES
Practice Address - Street 2:7706 13TH AVENUE, ADMIN OFFICE IN REAT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228
Practice Address - Country:US
Practice Address - Phone:718-232-8600
Practice Address - Fax:718-288-9314
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099748-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker