Individual provider Active NPI

Raymond Smith, LCSW-C, , LCSW, QCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1629518840
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19699 Issued in MD
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

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240227003453 AK Practitioner - Clinical Social Worker 7810387560 Reassigns benefits to 1 organization
I20241231001161 VA Practitioner - Clinical Social Worker 7810387560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50082718DCMDClinical Social Worker
LICSW126715MAMDClinical Social Worker
0904014VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CSW Services, LLC Clinical CurrentSince Nov 9, 2021 Accepting new patients
Michael S. Weissman, PH.D.,LTD Clinical CurrentSince Dec 1, 2024 Accepting new patients
Bartlett Regional Hospital CurrentSince Jan 15, 2024 Accepting new patients
Volunteers of America Northern Rockies Current Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical PastSince Dec 1, 2024 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.

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

Verify at the official NPI Registry.