Provider Demographics
NPI:1598130304
Name:SMITH, PH.D., LCSW, BELINDA DAVIS (PH,D,M LCSW)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:DAVIS
Last Name:SMITH, PH.D., LCSW
Suffix:
Gender:F
Credentials:PH,D,M LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 ARAGONA BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4263
Mailing Address - Country:US
Mailing Address - Phone:240-604-3279
Mailing Address - Fax:301-292-3436
Practice Address - Street 1:1702 ARAGONA BLVD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4263
Practice Address - Country:US
Practice Address - Phone:240-604-3279
Practice Address - Fax:301-292-3436
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08926104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker