Individual provider · Type 1 NPI

Willenia C. Smith

Peer Specialist · Watertown, NY

NPI number 1629950266 Active

Practice location

650 State St
Watertown, NY 13601-2839

Fax (315) 291-6601

Mailing address

324 County Route 51 Bldg 1
Malone, NY 12953-4502

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1629950266

Willenia C. Smith's National Provider Identifier is 1629950266, issued on Jul 24, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Watertown, NY. The record was last updated on Jul 24, 2025.