Ann Virginia Smith, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09775 Issued in MD

Practice address

1406 B Crain Hwy
Suite 206 Baltimore Washington Counseling Center
Glen Burnie, MD 21061

Phone

(410) 768-6088

Fax

(410) 768-6444

NPI assigned

Apr 26, 2007

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)

Enrolled

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1104046077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N CHESTER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311624",
            "telephone_number": "410-493-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 B CRAIN HWY",
            "address_2": "SUITE 206 BALTIMORE WASHINGTON COUNSELING CENTER",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-768-6088",
            "fax_number": "410-768-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie D Smack, LCSW-C
• Nicole Small, CRNP
• Smile Loft Glen Burnie LLC
• Smile Up Dental Center
• Dominique Nicole Smith-Hicks
• Cemia Smith, LMSW
• Christopher David Smith
• Deidre Allison Smith, CRNP
• Karen M. Smith, R.N.
• Kristen Smith, PA-C

• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.