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NPI 1063978849

NPI 1063978849 : FLESHIA W SMALLS MSW, LCSW : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1063978849
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    Entity Type          |    Individual 
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    Provider Name        |    FLESHIA W SMALLS MSW, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2019
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    801 SUMMIT AVE STE 8 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27405-7813
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    Country              |    US
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    Telephone            |    336-355-1253
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    801 SUMMIT AVE STE 8 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27405-7813
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    C013332
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    1154732
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    License Number State |    NC
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