Provider Demographics
NPI:1205080116
Name:NAGEL SMITH, TONI ALEKSANDRA (LCSW)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:ALEKSANDRA
Last Name:NAGEL SMITH
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:PO BOX 101
Mailing Address - Street 2:65 WEST ROAD
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-0101
Mailing Address - Country:US
Mailing Address - Phone:914-764-4814
Mailing Address - Fax:
Practice Address - Street 1:65 WEST ROAD
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-0101
Practice Address - Country:US
Practice Address - Phone:914-764-4814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR013638-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical