Provider Demographics
NPI:1114948973
Name:SMITH, BARBARA JEANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEANNE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 N WASHINGTON HWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-1326
Mailing Address - Country:US
Mailing Address - Phone:804-798-1335
Mailing Address - Fax:804-798-1909
Practice Address - Street 1:629 N WASHINGTON HWY
Practice Address - Street 2:SUITE F
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-1326
Practice Address - Country:US
Practice Address - Phone:804-798-1335
Practice Address - Fax:804-798-1909
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040013221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA069007OtherANTHEM
VA0800599OtherSENTARA
VA031656OtherVALUE OPTIONS
VA8900698Medicaid