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Contact Information

REGINA F SMITH, LCSW
232 COPPAHAUNK AVE
WAVERLY, VA23890
 Phone: 804-834-2205
 Fax: 804-834-2625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for REGINA F SMITH · (Female)

NPI # 1750312591
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904002365
  • VA Medicaid 4945280
  • VA Other 106616 ANTHEM
  • VA Other 117954 ANTHEM
  • VA Other 086375 SENTARA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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