National Provider Identifier
Kelly Sandra Smith, LCSW-R
Kelly Sandra Smith, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Geneva, NY and a listed phone number of (315) 730-5306.
Profile Overview
- NPI
- 1861441297
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 10, 2006
- Last Updated
- September 13, 2017
Practice Location
- 216 Hamilton St
- Geneva, NY 14456-2911
Phone: (315) 730-5306
Mailing Address
- 3779 State Route 14A
- Geneva, NY 14456-9103
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1861441297
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Kelly
- Middle Name
- Sandra
- Credential
- LCSW-R
- Mailing Street Address
- 3779 State Route 14A
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-9103
- Mailing Country
- US
- Mailing Phone
- (315) 781-0413
- Practice Street Address
- 216 Hamilton St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2911
- Practice Country
- US
- Practice Phone
- (315) 730-5306
- Enumeration Date
- May 10, 2006
- Last Updated
- September 13, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)