MEDICARE: TASHIA SMITH LCSW

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	0904012002	VA
2	104100000X	Social Worker	S-0030600	OH

General Provider Information

NPI Number	:	1497888556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHIA SMITH LCSW

Provider Business Mailing Address
First Line	:	400 N CENTER DR STE 100
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-0002
Country	:	US
Telephone Number	:	757-908-3754
Fax Number	:	757-767-7783

Provider Business Practice Location Address
First Line	:	400 N CENTER DR STE 100
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-0002
Country	:	US
Telephone Number	:	757-908-3754
Fax Number	:	757-767-7783

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	06/09/2026

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Directions to “ TASHIA SMITH LCSW” Practice Location

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