Provider Demographics
NPI:1568911444
Name:SMITH, MEREDITH (LPC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 VERMONT AVE NW
Mailing Address - Street 2:310
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3516
Mailing Address - Country:US
Mailing Address - Phone:202-293-4580
Mailing Address - Fax:
Practice Address - Street 1:1025 VERMONT AVE NW
Practice Address - Street 2:310
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3516
Practice Address - Country:US
Practice Address - Phone:202-293-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health