Healthcare Provider Details

I. General information

NPI: 1649110370
Provider Name (Legal Business Name): VERONICA E SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 BENNING RD NE
WASHINGTON DC
20019-4555
US

IV. Provider business mailing address

3003 VAN NESS ST NW APT W1110
WASHINGTON DC
20008-4809
US

V. Phone/Fax

Practice location:
  • Phone: 240-234-3935
  • Fax:
Mailing address:
  • Phone: 240-234-3935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: