Provider Demographics
NPI:1528232212
Name:SMITTIE, ANGELA N (LISW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:N
Last Name:SMITTIE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 CENTRAL PKWY
Mailing Address - Street 2:STE. 111
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-6904
Mailing Address - Country:US
Mailing Address - Phone:513-362-2727
Mailing Address - Fax:513-651-1159
Practice Address - Street 1:1634 CENTRAL PKWY
Practice Address - Street 2:STE. 111
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6904
Practice Address - Country:US
Practice Address - Phone:513-362-2727
Practice Address - Fax:513-651-1159
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00286021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical