Desiree Devonne Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014843 Issued in VA

Practice address

4303 Cappahosic Rd
Gloucester, VA 23061-3300

Phone

(804) 213-2674

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hampton Roads Trauma and Recovery Treatment Center LLC

  • Clinical Social Worker
  • Gloucester, VA
  • NPI 1982219044
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1033725239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 CAPPAHOSIC RD",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613300",
            "telephone_number": "757-214-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 CAPPAHOSIC RD",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613300",
            "telephone_number": "804-213-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13441 Warwick Blvd",
            "address_2": "BLDG 2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23602",
            "country_code": "US",
            "telephone_number": "804-213-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DESIREE",
        "middle_name": "DEVONNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shining Light Behavioral Health - Whittaker
• Amy A Shipley, M.D.
• Wendy S Shulman, N.P.
• Richard Thomas Sieller, PT
• Valarie Sikes-Nova, PSY.D.
• Sola Inc.
• Carolyn S South, L.P.C.
• Garry Benjamin Spain, LCSW
• Ginger Diane Spencer
• Kristen E Spratt, M.D.

• Clinical Social Worker in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.