Provider Demographics
NPI:1518021229
Name:SMITH, RITA COPE (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:COPE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 EARLWOODE DR
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-3901
Mailing Address - Country:US
Mailing Address - Phone:914-993-0837
Mailing Address - Fax:914-831-9456
Practice Address - Street 1:33 EARLWOODE DR
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-3901
Practice Address - Country:US
Practice Address - Phone:914-997-0837
Practice Address - Fax:914-831-9456
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR029102-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical