MEDICARE: VERONICA LABRELL SMITH LMSW

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
1	1041C0700X	Clinical Social Worker	6801085224	MI
2	1041C0700X	Clinical Social Worker	23102	MD
3	1041C0700X	Clinical Social Worker	0904018562	VA

General Provider Information

NPI Number	:	1588803779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA LABRELL SMITH LMSW

Provider Business Mailing Address
First Line	:	9608 WESBOURNE DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2677
Country	:	US
Telephone Number	:	734-945-9083
Fax Number	:

Provider Business Practice Location Address
First Line	:	9608 WESBOURNE DR
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2677
Country	:	US
Telephone Number	:	734-945-9083
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	03/03/2026

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Directions to “ VERONICA LABRELL SMITH LMSW” Practice Location

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