Provider Demographics
NPI:1982898524
Name:STEINER-SMITH, TANA RAE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TANA
Middle Name:RAE
Last Name:STEINER-SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 CENTAURI RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3115
Mailing Address - Country:US
Mailing Address - Phone:719-930-6281
Mailing Address - Fax:
Practice Address - Street 1:10 NORTH FARRAGUT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5601
Practice Address - Country:US
Practice Address - Phone:719-475-0562
Practice Address - Fax:719-634-0482
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9928231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical