Individual provider · Type 1 NPI

Ebony Lea'shay Smith, LCSW

Clinical Social Worker · Parksley, VA

NPI number 1619767654 Active

Practice location

18469 Dunne Ave
Parksley, VA 23421

Mailing address

PO Box 318
Tasley, VA 23441-0318

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904018379 (VA)

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 1619767654

Ebony Lea'shay Smith, LCSW's National Provider Identifier is 1619767654, issued on May 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Parksley, VA. The record was last updated on May 12, 2025.