VA Smile Foundation, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VA SMILE FOUNDATION, INC.

Practice address

12 Musket LN
Hampton, VA 23666-5345

Phone

(757) 927-7477

Fax

(757) 654-3194

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kenyuatia Lynn Gash, LCSWNPI 1831440544

Title

Chief Executive Officer

Phone

(757) 927-7477

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenyuatia Lynn Gash, LCSW, ACSW

  • Clinical Social Worker
  • Poquoson, VA
  • NPI 1831440544

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1043051642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING STE 5142",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "757-927-7477",
            "fax_number": "757-654-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MUSKET LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665345",
            "telephone_number": "757-927-7477",
            "fax_number": "757-654-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA SMILE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "GASH",
        "authorized_official_first_name": "KENYUATIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-927-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology of Virginia PC
• Danica-Mae Usita, RRT
• VA Medical Center
• VA Medical Center
• VA School F/T Deaf & Blind at Hampton
• Farah Vahora, PHARMD
• Amanollah Homayoun Vakil, M.D.
• Chloe Valdez
• Tamara Mardrena Valentine, CSAC, QMHPC, CSOTP
• Tina Valentine, NP

• All providers in Hampton, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.