Provider Demographics
NPI:1073380879
Name:BUONGIORNO-SMITH, ADISON ELISE (ACSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:ADISON
Middle Name:ELISE
Last Name:BUONGIORNO-SMITH
Suffix:
Gender:F
Credentials:ACSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23801 CALABASAS RD STE 2026
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1664
Mailing Address - Country:US
Mailing Address - Phone:747-999-6414
Mailing Address - Fax:
Practice Address - Street 1:23801 CALABASAS RD STE 2026
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1664
Practice Address - Country:US
Practice Address - Phone:747-999-6414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1160621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical