Individual provider · Type 1 NPI

Vivian Devone Smith, MSW M.ED.LCSW CADC-R

Clinical Social Worker · St. Pauls, NC

NPI number 1801064860 Active

Practice location

128 E Broad St
St. Pauls, NC 28384-1610

Fax (910) 241-3462

Mailing address

60 Commerce Plaza Cir
Pembroke, NC 28372-7386

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3314 (NC)
Clinical Social Worker Primary 1041C0700XP018568 (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 1801064860

Vivian Devone Smith, MSW M.ED.LCSW CADC-R's National Provider Identifier is 1801064860, issued on Feb 13, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Pauls, NC. The record was last updated on Oct 20, 2026.