Individual provider · Type 1 NPI

Carly V. Smith, LCSW

Clinical Social Worker · Conyers, GA

NPI number 1205585544 Active

Practice location

1510 Klondike Rd SW Ste 301
Conyers, GA 30094-5121

Fax (678) 509-7656

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7725

Other practice locations

  • 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 · (678) 209-2394

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW010602 (GA)

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 1205585544

Carly V. Smith, LCSW's National Provider Identifier is 1205585544, issued on Mar 23, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Conyers, GA. The record was last updated on Sep 28, 2026.