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General NPI Number Information
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NPI Number | 1760930168
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Entity Type | Individual
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Provider Name | WHITNEY SMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 424 MARKET ST STE 100
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City | SUFFOLK
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State | VA
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Zip | 23434-5249
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Country | US
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Telephone | 252-287-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 424 MARKET ST STE 100
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City | SUFFOLK
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State | VA
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Zip | 23434-5249
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Country | US
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Telephone | 252-287-5870
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 58-1716970
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P011996
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904011890
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License Number State | VA
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