Smith, Robert J.

Smith, Robert J. is an individual health care provider with primary practice located at 435 E Main St , Ansonia CT 06401-1964. He 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, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Robert J. can be contacted via phone (203) 736-2905.

Contact Information

Primary practice address
435 E Main St Ansonia CT 06401-1964
Phone: (203) 736-2905
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000303 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 000405 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000323 Connecticut

Profile Details

NPI number 1609947738
LBN Legal business name Smith, Robert J.
Credentials LCSW,LADC,LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Jul 29th, 2008 - about 17 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 1609947738 NPPES
Connecticut MEDICAID 4183480

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