Sandra Jean Smith, LCADC,CSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00086900 Issued in NJ

Practice address

75 N Bath Ave
Long Branch, NJ 07740-6317

Phone

(732) 923-5246

Fax

(732) 923-5277

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1679765622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N BATH AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406317",
            "telephone_number": "732-923-5246",
            "fax_number": "732-923-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N BATH AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406317",
            "telephone_number": "732-923-5246",
            "fax_number": "732-923-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "LCADC,CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00086900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajagopalan Sivaprasad, MD
• Loki Skylizard, M.D.
• Kim Small, ATC
• Clive N Smith, MD
• Margaret Smith, DO
• Daniel John Smuro, MD
• Laura Snyder, MD
• Samantha Snyder
• Ashley Jacklyn So, MD
• Pablo Jose Socias Pappaterra

• Addiction (Substance Use Disorder) Counselor in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.