Provider Demographics
NPI:1528344769
Name:SMERLING, KATHRYN (LCSW-PHD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:SMERLING
Suffix:
Gender:F
Credentials:LCSW-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 5TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0807
Mailing Address - Country:US
Mailing Address - Phone:212-794-6057
Mailing Address - Fax:212-369-1777
Practice Address - Street 1:1148 5TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0807
Practice Address - Country:US
Practice Address - Phone:212-794-6057
Practice Address - Fax:212-369-1777
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0637551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical