Provider Demographics
NPI:1033955612
Name:SMILEY, ELIZABETH (LGSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SMILEY
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:ELLE
Other - Middle Name:
Other - Last Name:SMILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:621 IRVING ST NW APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3083
Mailing Address - Country:US
Mailing Address - Phone:443-275-8605
Mailing Address - Fax:
Practice Address - Street 1:621 IRVING ST NW APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3083
Practice Address - Country:US
Practice Address - Phone:443-275-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG200002964104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker