Smith, Anita Ellen

Smith, Anita Ellen is an individual health care provider with primary practice located at 34 Sycamore Ave Building 2, Little Silver NJ 07739-1228. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Licensed Practical Nurse. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Anita Ellen can be contacted via phone (732) 576-8925.

Contact Information

Primary practice address
34 Sycamore Ave Building 2 Little Silver NJ 07739-1228
Phone: (732) 576-8925
Fax: (732) 576-8814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00114700 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05447100 New Jersey
Nursing Service Providers / Licensed Practical Nurse 164W00000X 26NP01293900 New Jersey

Profile Details

NPI number 1225234867
LBN Legal business name Smith, Anita Ellen
Credentials MSW,LCSW, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Dec 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225234867 NPPES
New Jersey Other 12173960 CAQH

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