Provider Demographics
NPI:1083819940
Name:SMITH, DEBORAH F (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:F
Last Name: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 1:7617 CITA LN UNIT 102
Mailing Address - Street 2:MAIL STATION 2, BOX 11
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6216
Mailing Address - Country:US
Mailing Address - Phone:727-232-1689
Mailing Address - Fax:866-595-8350
Practice Address - Street 1:7617 CITA LN UNIT 102
Practice Address - Street 2:MAIL STATION 2, BOX 11
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6216
Practice Address - Country:US
Practice Address - Phone:727-232-1689
Practice Address - Fax:866-595-8350
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8172104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW8172OtherDOH LCSW