Provider Demographics
NPI:1235516048
Name:SMITH, RHONDA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4313 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-3905
Mailing Address - Country:US
Mailing Address - Phone:337-855-9023
Mailing Address - Fax:337-855-1829
Practice Address - Street 1:4313 ESSEX ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-3905
Practice Address - Country:US
Practice Address - Phone:337-855-9023
Practice Address - Fax:337-855-1829
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical