Individual provider Active NPI

Sha'Nece N Smith, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1811697220
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014930 Issued in VA
Practice address
4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533
Phone
(804) 464-8340
Fax
(804) 884-3726
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904014930 VA Primary

Addresses

Primary practice location

4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533

Mailing address

5656 Oak Run LN
Henrico, VA 23228-1939
Phone (609) 969-2379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904014930VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Holistic Care LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

4907 Fitzhugh Ave
Ste 202
Richmond, VA 23230
Phone (804) 396-4106

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1811697220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 OAK RUN LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232281939",
            "telephone_number": "609-969-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 FITZHUGH AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303533",
            "telephone_number": "804-464-8340",
            "fax_number": "804-884-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHA'NECE",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.