Healthcare Provider Details

I. General information

NPI: 1538960281
Provider Name (Legal Business Name): MOLLY PEYTON SMITH MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 ROCKINGHAM RD
ROCKINGHAM NC
28379-3615
US

IV. Provider business mailing address

708 S CHESTNUT ST
GASTONIA NC
28054-4548
US

V. Phone/Fax

Practice location:
  • Phone: 910-562-9882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP021699
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: