Provider Demographics
NPI:1740279488
Name:SMITH, PAULA SENAY (LCSW-C)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:SENAY
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 CHURCHVILLE ROAD
Mailing Address - Street 2:SUITE100
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3951
Mailing Address - Country:US
Mailing Address - Phone:410-734-4222
Mailing Address - Fax:410-734-4222
Practice Address - Street 1:1208 CHURCHVILLE ROAD
Practice Address - Street 2:SUITE100
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3951
Practice Address - Country:US
Practice Address - Phone:410-734-4222
Practice Address - Fax:410-734-4222
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD054281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD466SMedicare ID - Type Unspecified