Provider Demographics
NPI:1477284529
Name:SMITH, LASHAUN E (MSW)
Entity Type:Individual
Prefix:
First Name:LASHAUN
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 WASHINGTON AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-6684
Mailing Address - Country:US
Mailing Address - Phone:347-313-5327
Mailing Address - Fax:
Practice Address - Street 1:1070 WASHINGTON AVE APT 3A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-6684
Practice Address - Country:US
Practice Address - Phone:347-313-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health