Tracie V Smith, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Williamston, NC
NPI 1912264656 · NPPES record last updated Apr 19, 2012
Key facts
- NPI
- 1912264656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C007133 (NC)
- Practice address
- 1403 Eli Bowen Rd
Williamston, NC 27892-7942 - Phone
- (252) 809-7144
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C007133 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C007133 | NC | Yes |
Addresses
Primary practice location
1403 Eli Bowen Rd
Williamston, NC 27892-7942
Mailing address
520 E Church St
Williamston, NC 27892-2514
Phone (252) 809-7144
Other providers in Williamston, NC
- Gajendra Singh
- SJ Legacy Home LLC
- Steven Earl Skahill
- Dorothy Anne Smith
- Emily Suzanne Smith
- Brooks Stalls
- Kimberly Roberson Stevens
- Kristen Harrison Stewart
- Straight Walk Family Services
- Matthew David Sturzenegger
All providers in Williamston, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.