Provider Demographics
NPI:1659859718
Name:SMITH, ARIANNA (MPH, MSW)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MPH, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 HARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-5751
Mailing Address - Country:US
Mailing Address - Phone:773-841-2921
Mailing Address - Fax:
Practice Address - Street 1:1 N DEARBORN ST # 100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4331
Practice Address - Country:US
Practice Address - Phone:708-216-0372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker