Provider Demographics
NPI:1467278143
Name:SMITH, FIONA V (LMSW)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:V
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 1:100 RIVERSIDE BLVD APT 7R
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0410
Mailing Address - Country:US
Mailing Address - Phone:201-669-2380
Mailing Address - Fax:
Practice Address - Street 1:285 LEXINGTON AVE STE 2A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3570
Practice Address - Country:US
Practice Address - Phone:201-669-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical