Heaven Breazae Janetta E E Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P024434 Issued in NC

Practice address

10130 Perimeter Pkwy Ste 218
Charlotte, NC 28216-0197

Phone

(704) 832-2200

Fax

(704) 838-1541

NPI assigned

Sep 22, 2026

Last updated

Sep 23, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1134031388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 GRACE FARMS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282130054",
            "telephone_number": "910-987-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 PERIMETER PKWY STE 218",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160197",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEAVEN",
        "middle_name": "BREAZAE JANETTA E E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P024434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lamont Smith
• Hannah Leigh Smith, DDS
• Harmony Smith, LCMHCA
• Heather B Smith, OT
• Heather C Smith, O.D.
• Heidi Betz Smith, P.T.
• Henry Smith
• Hunter Smith, PA-C
• Iffat Wasi Smith, LCSWA
• Iyana Smith

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.