Provider Demographics
NPI:1154497618
Name:SMILEY, LALANI C (LICSW)
Entity Type:Individual
Prefix:MS
First Name:LALANI
Middle Name:C
Last Name:SMILEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2460
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0307
Mailing Address - Country:US
Mailing Address - Phone:509-525-8884
Mailing Address - Fax:509-522-0460
Practice Address - Street 1:409 E SUMACH ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1228
Practice Address - Country:US
Practice Address - Phone:509-525-8884
Practice Address - Fax:509-522-0460
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000073851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical