Provider Demographics
NPI:1447797261
Name:NESMITH, TAMMI (LCSWC)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:
Last Name:NESMITH
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25428-0035
Mailing Address - Country:US
Mailing Address - Phone:304-260-9544
Mailing Address - Fax:
Practice Address - Street 1:92 HOLDEN DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-5071
Practice Address - Country:US
Practice Address - Phone:304-308-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD202761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical