KELLY ELIZABETH SMITH (NPI# 1568976751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568976751 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH SMITH |
| Credential | LCSW, CSAC |
| Practice Address |
216 Gilmer Street Lebanon VA 24266 |
| Mailing Address |
Po Box 810 Cedar Bluff VA 24609-0810 |
| Practice Telephone | 2768893063 |
| Mailing Telephone | 2769646702 |
| Mailing Fax Number | 2769640292 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710103119 | VA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904010148 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| 1679979561 | Kelly Smith | Speech-Language Pathologist | 15208 E 39th St S, Independence, MO 64055-4239 | 2014-11-05 |
| Street Address |
216 GILMER STREET |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| 1184136327 | Bridgett Denise Blevins | Speech-Language Pathologist | 84 Lorraine C. Turner Drive, Russell County Public Schools, Lebanon, VA 24266 | 2017-10-27 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285260653 | Jane Louise Oakley | Social Worker | 3791 W St Rt 63, Lebanon, OH 45036-9585 | 2020-03-18 |
| 1760049373 | Ginger L Rios-baez | Social Worker | 708 Five Oaks Ct, Lebanon, TN 37087-1607 | 2019-05-20 |
| 1811453202 | Jennifer Marie Plesh-fugate | Social Worker | 1700 S Lincoln Ave # 500, Lebanon, PA 17042-7529 | 2019-02-11 |
| 1932676590 | Margaret Mary Panageas | Social Worker | 6 Camelot Ct, Lebanon, NJ 08833-4003 | 2018-10-31 |
| 1609313899 | Paul Trubey | Social Worker | 59 Taylor Bridge Rd, Lebanon, CT 06249-2426 | 2017-01-25 |
| 1447610118 | Lauren Melissa Mourier | Social Worker | 440 Park Ave Ste A, Lebanon, TN 37087-3665 | 2016-02-24 |
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1154798767 | Rachel Ann Klopfenstein | Social Worker | 420 N Loretto Rd, Lebanon, KY 40033-1628 | 2015-08-31 |
| 1750758090 | Teresa May Belouchi | Social Worker | 15 E Warren St, Lebanon, OH 45036-1859 | 2015-08-21 |
| 1861871451 | Angelica Kay Jane Nevins | Social Worker | 1614 N Lebanon St, Suite 2, Lebanon, IN 46052-1514 | 2015-05-28 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on KELLY ELIZABETH SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.