Provider Demographics
NPI:1518146588
Name:SMYTHE, RENEE A (LCSW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:A
Last Name:SMYTHE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 ROUTE 22 EAST
Mailing Address - Street 2:AMERICAN INSTITUTE FOR COUNSELING INC
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805
Mailing Address - Country:US
Mailing Address - Phone:732-469-6444
Mailing Address - Fax:732-469-6445
Practice Address - Street 1:1952 ROUTE 22 EAST
Practice Address - Street 2:AMERICAN INSTITUTE FOR COUNSELING INC
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805
Practice Address - Country:US
Practice Address - Phone:732-469-6444
Practice Address - Fax:732-469-6445
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052784001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical