Provider Demographics
NPI:1376057786
Name:SMAILES, ELIZABETH S (LGSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:S
Last Name:SMAILES
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:S
Other - Last Name:STEPTOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 HOSPITAL PLZ
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26301-9316
Mailing Address - Country:US
Mailing Address - Phone:304-623-5661
Mailing Address - Fax:
Practice Address - Street 1:17460 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-9702
Practice Address - Country:US
Practice Address - Phone:304-329-0013
Practice Address - Fax:304-329-0017
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00943772104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker