Provider Demographics
NPI:1548379050
Name:SMITH MINDELL, MARGARET (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:SMITH MINDELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 FARM RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3703
Mailing Address - Country:US
Mailing Address - Phone:732-266-1198
Mailing Address - Fax:
Practice Address - Street 1:42 FARM RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-3703
Practice Address - Country:US
Practice Address - Phone:732-266-1198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC048587001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ053628UHWMedicare UPIN
NJ053628Medicare ID - Type Unspecified