Kylie D Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008118 Issued in VA

Practice address

420 Hudgins Rd Ste 201
Fredericksburg, VA 22408-4172

Phone

(540) 907-0121

Fax

(866) 832-7890

NPI assigned

Dec 11, 2013

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lighthouse Counseling of Fredericksburg, PLC

  • Professional Counselor
  • Fredericksburg, VA
  • NPI 1225579790

  Clinical

  Medicare reassignment NPD
• Lighthouse Counseling of Fredericksburg, PLC

  • Counselor
  • Fredericksburg, VA
  • NPI 1346657269
  NPD (past)
• Wellness Group Youth & Family Services, Inc.

  • Home Health Agency
  • Richmond, VA
  • NPI 1134453814
  NPD (past)

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1518398874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HUDGINS RD STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084172",
            "telephone_number": "540-907-0121",
            "fax_number": "866-832-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HUDGINS RD STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084172",
            "telephone_number": "540-907-0121",
            "fax_number": "866-832-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLIE",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Smith, M.ED.
• Jocelyn Smith
• Joseph Alex Smith, LCSW
• Joshua Smith, LPTA
• Kayla Louise Smith
• Latifah Ebony Smith
• Maria Augusta Smith, LPC
• Marie Smith
• Michelle Smith, LCSW
• Peter R. Smith, M.D.

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, 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 May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.