Provider Demographics
NPI:1093400434
Name:SMITH-WALKER, SABRINA N (SWA/ MSSA/ MA)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:N
Last Name:SMITH-WALKER
Suffix:
Gender:F
Credentials:SWA/ MSSA/ MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5589 DUNHAM RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3657
Mailing Address - Country:US
Mailing Address - Phone:216-586-6183
Mailing Address - Fax:
Practice Address - Street 1:5589 DUNHAM RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-3657
Practice Address - Country:US
Practice Address - Phone:216-586-6183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHW.2300257104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker