Active NPI
Tokasonia Sydnor Smith, LCSWC
- Clinical Social Worker
- Arlington, VA
National Provider Identifier
1851369011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12909
- Practice address
- 1411 Jefferson Davis Hwy
Arlington, VA 22202-3229 - Phone
- (703) 602-2893
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12909 | MD | Primary |
Addresses
Primary practice location
1411 Jefferson Davis Hwy
Arlington, VA 22202-3229
Mailing address
5740 Cold Lake Dr
Welcome, MD 20693-3220
Phone (301) 934-1538
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12909 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851369011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5740 COLD LAKE DR",
"city": "WELCOME",
"state": "MD",
"postal_code": "206933220",
"telephone_number": "301-934-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 JEFFERSON DAVIS HWY",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222023229",
"telephone_number": "703-602-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYDNOR SMITH",
"first_name": "TOKASONIA",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.