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Provider Information for 1851586663


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Ms. RENA DARLENE SMITH LCSW, LAC


Sex: Female

NPI: 1851586663
Last Updated: 2007-09-14
Certification Date:

Details

NameValue
NPI1851586663
Enumeration Date2007-09-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 235 W ESPLANADE AVE
METAIRIE, LA 70005-1406
United States

Phone: 601-946-3650 | Fax:
 
Primary Practice Address 2601 TULANE AVE
NEW ORLEANS, LA 70119-7462
United States

Phone: 504-826-2004 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)LA742
Yes 1041C0700X - Social Worker - ClinicalLA5663