Reginald J. Smith | Richmond Hill, NY • PECOS Search

Reginald J. Smith

Social Worker

Behavioral Health & Social Service Providers

11701 Park Ln S, Apartment A 4 I, Richmond Hill, NY 11418-1014

PECOS Enrollment

Based on the most recent information from CMS, provider Reginald J. Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871631812
Provider Type
Individual
Full Name
Smith, Reginald J.
Title
Mr.
Credential
LCSW-R

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/2/2007
Last Updated
7/8/2007

Contact Information

Practice Location

11701 Park Ln S, Apartment A 4 I, Richmond Hill, NY 11418-1014

Unlisted Fax

Mailing Location

117-01 Park Lane South, Apartment A 4 I, Kew Gardens, NY 11418-1014

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License R 040647-1 New York