Provider Demographics
NPI:1205587003
Name:SMYTH, JOANNE MARY (MSW)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARY
Last Name:SMYTH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2886 CINNAMON BAY CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8682
Mailing Address - Country:US
Mailing Address - Phone:239-220-1841
Mailing Address - Fax:
Practice Address - Street 1:2886 CINNAMON BAY CIR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8682
Practice Address - Country:US
Practice Address - Phone:239-220-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker