Individual provider · Type 1 NPI

Heaven Breazae Janetta E. E. Smith

Clinical Social Worker · Charlotte, NC

NPI number 1134031388 Active

Practice location

10130 Perimeter Pkwy Ste 218
Charlotte, NC 28216-0197

Call (704) 832-2200 Map

Fax (704) 838-1541

Mailing address

8108 Grace Farms Dr
Charlotte, NC 28213-0054

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP024434 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1134031388

Heaven Breazae Janetta E. E. Smith's National Provider Identifier is 1134031388, issued on Sep 22, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Sep 23, 2026.