Provider Demographics
NPI:1730271016
Name:SMART, STEFFINITA LOTOYA (LCSW-S)
Entity type:Individual
Prefix:
First Name:STEFFINITA
Middle Name:LOTOYA
Last Name:SMART
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 E LLANO ESTACADO BLVD
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-3807
Mailing Address - Country:US
Mailing Address - Phone:954-804-0865
Mailing Address - Fax:
Practice Address - Street 1:921 W. LLANO ESTACADO BLVD
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101
Practice Address - Country:US
Practice Address - Phone:575-763-4335
Practice Address - Fax:575-763-4296
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW3945104100000X
NMC-118791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker