Provider Demographics
NPI:1962546507
Name:SMITH, DAVID F (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:F
Last Name:SMITH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 SAINT JAMES ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-2341
Mailing Address - Country:US
Mailing Address - Phone:860-231-9415
Mailing Address - Fax:
Practice Address - Street 1:27 W MAIN ST
Practice Address - Street 2:301
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-4207
Practice Address - Country:US
Practice Address - Phone:860-826-3371
Practice Address - Fax:860-826-3367
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0062661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical