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NPI Code Detail

MEDICARE: LANDYCE XAVIA SMITH LCSW

MEDICARE: LANDYCE XAVIA SMITH LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker8311OK
21041C0700XClinical Social Worker8311OK

General Provider Information

NPI Number : 1548881436
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANDYCE XAVIA SMITH LCSW
Provider Business Mailing Address
First Line : 102 W EUFAULA ST STE 212
Second Line :
City : NORMAN
State : OK
Zip : 73069-5656
Country : US
Telephone Number : 405-355-8168
Fax Number :
Provider Business Practice Location Address
First Line : 1008 24TH AVE NW
Second Line :
City : NORMAN
State : OK
Zip : 73069-6369
Country : US
Telephone Number : 405-310-3262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2020
Last Update Date : 03/24/2026

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Directions to “ LANDYCE XAVIA SMITH LCSW” Practice Location

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