Individual provider · Type 1 NPI

Elaine Ambandos Smith, L.C.S.W.

Clinical Social Worker · Staten Island, NY

NPI number 1972562049 Active

Practice location

148 Jacques Ave
Staten Island, NY 10306-3028

Fax (718) 442-7018

Mailing address

24 Clyde Pl
Staten Island, NY 10301-2211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR043774 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1972562049

Elaine Ambandos Smith, L.C.S.W.'s National Provider Identifier is 1972562049, issued on Mar 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 13, 2026.