Provider Demographics
NPI:1851369011
Name:SYDNOR SMITH, TOKASONIA (LCSWC)
Entity Type:Individual
Prefix:
First Name:TOKASONIA
Middle Name:
Last Name:SYDNOR SMITH
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5740 COLD LAKE DR
Mailing Address - Street 2:
Mailing Address - City:WELCOME
Mailing Address - State:MD
Mailing Address - Zip Code:20693-3220
Mailing Address - Country:US
Mailing Address - Phone:301-934-1538
Mailing Address - Fax:
Practice Address - Street 1:1411 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3229
Practice Address - Country:US
Practice Address - Phone:703-602-2893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical