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NPI Code Detail

MEDICARE: MRS. TAHESHIE SMITH LCSW

MEDICARE:  MRS. TAHESHIE  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
11041C0700XClinical Social Worker8487-CAR

General Provider Information

NPI Number : 1730883976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAHESHIE SMITH LCSW
Provider Business Mailing Address
First Line : 2200 FORT ROOTS DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-1709
Country : US
Telephone Number : 501-257-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2200 FORT ROOTS DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-1709
Country : US
Telephone Number : 501-590-9241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 01/16/2026

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Directions to “ MRS. TAHESHIE SMITH LCSW” Practice Location

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