Desaray Smith LCSW-C - Clinical Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Desaray Smith LCSW-C

NPI Number

1083939946

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/05/2010

Specialties

(Taxonomies)

Name

Clinical Social Worker

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

North Carolina

License Number

22730

C006751

Contact
Information

Purpose

Mailing

Location

Address

1111 N CHARLES ST

1111 N CHARLES ST

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21201-5505

21201-5505

Country

US

US

Telephone Number

(410) 837-2050

(410) 837-2050

Identifiers

Identifier

183C6

6007560

Identifier State

NC

NC

Identifier Issuer

BCBS

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/21/2021

Provider Address

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Rosalind Griffin DSW, LCSW-C

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Specialty: Clinical Social Worker (Primary)

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Specialty: Clinical Social Worker (Primary)

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Alyssa Goodman LMSW/LGSW

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Samantha Fuld LCSW-C

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