Provider Demographics
NPI:1811150659
Name:SMITH-LINCOLN, HOPE E (CASAC)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:E
Last Name:SMITH-LINCOLN
Suffix:
Gender:F
Credentials:CASAC
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 433
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:12997-0433
Mailing Address - Country:US
Mailing Address - Phone:518-524-8485
Mailing Address - Fax:
Practice Address - Street 1:17 MAIN ST
Practice Address - Street 2:NORTH STAR CHEMICAL DEPENDENCY SERVICES
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1706
Practice Address - Country:US
Practice Address - Phone:518-891-2467
Practice Address - Fax:518-891-2621
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18253101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)