Daniel J Smith, LCSWLCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073146478

Daniel J Smith, LCSWLCADC is a Clinical Social Worker in Park Ridge, New Jersey. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying: 21
Licensed in: NJ
In the registry since: 2020
Specialties on file: 2

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Practice location Address checks out

52 Park Ave
Park Ridge, NJ 07656-1277
Phone: (201) 822-1877

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence 44SC05348800 (NJ)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence 37LC00138400 (NJ)

Record details

NPI number	1073146478
Entity type	Individual (Type 1)
Gender	Male
Credentials	LCSWLCADC
Sole proprietor	Yes
NPI enumerated	February 14, 2020
Last updated in NPPES	February 14, 2020
Certification date	February 14, 2020
Mailing address	16 Forest Ave, Montvale, NJ 07645-2205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	2005 (21 years in practice)
Accepts Medicare assignment	Not indicated