Latroyal Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008620 Issued in VA

Practice address

139 Baker St # C
Emporia, VA 23847-1703

Phone

(804) 651-6204

Fax

(434) 336-1516

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1780065334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BAKER ST # C",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471703",
            "telephone_number": "804-651-6204",
            "fax_number": "434-336-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BAKER ST # C",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471703",
            "telephone_number": "804-651-6204",
            "fax_number": "434-336-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATROYAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iqbal Singh, M.D.
• Skinner Holistic Health Corporation
• Marvin Eugene Skinner, LPC
• Whitney Smallwood, LPC
• Anastasia Katrina Smith, ACSW, CMSW, LCSW
• Rakesh K Sood, M.D.
• Southern Dominion Health System, Inc.
• Southern Virginia Eyecare LLC
• Southern Virginia Physicians, LLC
• Robert Hall Squire, MD

• Clinical Social Worker in Emporia, VA
• Providers in Emporia, 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 Jun 9, 2015; 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.