Active NPI
Raymond Smith, LCSW-C, , LCSW, QCSW
- Clinical Social Worker
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19699
- Practice address
- 2726 Saint Mihiel Ave
Norfolk, VA 23509-1715 - Phone
- (667) 299-6185
- NPI assigned
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 216687 | AK | |
| Clinical Social Worker | 1041C0700X | LICSW126715 | MA | |
| Clinical Social Worker | 1041C0700X | 0904014 | VA | |
| Clinical Social Worker | 1041C0700X | LC50082718 | DC | |
| Clinical Social Worker | 1041C0700X | 19699 | MD | Primary |
Addresses
Primary practice location
2726 Saint Mihiel Ave
Norfolk, VA 23509-1715
Mailing address
5300 Kempsriver Dr Unit 1027
Virginia Beach, VA 23464-5369
Phone (667) 299-6185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50082718 | DC | MD | Clinical Social Worker |
| LICSW126715 | MA | MD | Clinical Social Worker |
| 0904014 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSW Services, LLC | Clinical | Current | Accepting new patients |
| Michael S. Weissman, PH.D.,LTD | Clinical | Current | Accepting new patients |
| Bartlett Regional Hospital | Current | Accepting new patients | |
| Volunteers of America Northern Rockies | Current | Accepting new patients | |
| Psychotherapy Resources of Norfolk LTD | Clinical | Past | Accepting new patients |
Locations
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3240 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8435
10530 Campus Way S
Upper Marlboro, MD 20774
Phone (202) 394-0426
3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404
1709 Colley Ave
Ste 310
Norfolk, VA 23517
5300 Kempsriver Dr
Unit 1027
Virginia Beach, VA 23464
Phone (667) 299-6185
510 W 29th St
Cheyenne, WY 82001
Phone (307) 426-4728
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Churchland Psychological Center
- Marriage & Family Therapist
- Chesapeake, VA
- NPI 1770677288
Clinical
-
dba Southeast Physicians Services
- Multi-Specialty Clinic/Center
- Juneau, AK
- NPI 1154331734
-
- Substance Abuse Rehabilitation Facility
- Sheridan, WY
- NPI 1689249682
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1316947328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1629518840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 KEMPSRIVER DR UNIT 1027",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645369",
"telephone_number": "667-299-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 SAINT MIHIEL AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235091715",
"telephone_number": "667-299-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "LCSW-C, , LCSW, QCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "216687",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126715",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50082718",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.