MEDICARE: TIEARA LEEANN SMITH MSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1760335160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIEARA LEEANN SMITH MSW

Provider Business Mailing Address
First Line	:	3234 POST WOODS DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5517
Country	:	US
Telephone Number	:	404-789-7313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 THE EXCHANGE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-7400
Country	:	US
Telephone Number	:	404-789-7313
Fax Number	:

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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