Alicia L Smith, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1133 Issued in WV

Practice address

10 Hale St Ste 206
Charleston, WV 25301-2830

Phone

(304) 205-4129

Fax

(304) 205-4130

NPI assigned

Feb 4, 2016

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

Other names 1

• Alicia Lynn Foster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1639537798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HALE ST STE 206",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012830",
            "telephone_number": "304-205-4129",
            "fax_number": "304-205-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HALE ST STE 206",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012830",
            "telephone_number": "304-205-4129",
            "fax_number": "304-205-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALICIA",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "FOSTER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Smith & Smith DDS, PLLC
• Allison Dawn Smith-Varney, MSW, LGSW
• Alexis Smith
• Ali Smith
• Alice Smith
• Alvin Smith
• Alyesha Smith
• Ania Smith
• Ashleigh Dawn Smith, BS,PRSS
• Aujanique Smith

• Psychologist in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.