Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward D Smith III, LCSW

Individual provider Clinical Social Worker · NPI 1073910147

Edward D Smith III, LCSW is a Clinical Social Worker in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

115 N Huron St
Ronkonkoma, NY 11779-3531
Phone: (631) 626-7418
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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 054262 (NY)

Record details

NPI number1073910147
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 4, 2014
Last updated in NPPESDecember 4, 2014

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