Provider Demographics
NPI:1790445120
Name:LAUGHTON, SHAMECKA SMILEY (LMSW)
Entity Type:Individual
Prefix:
First Name:SHAMECKA
Middle Name:SMILEY
Last Name:LAUGHTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 WILLOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-2133
Mailing Address - Country:US
Mailing Address - Phone:929-395-4838
Mailing Address - Fax:
Practice Address - Street 1:2015 WILLOW WOOD DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23509-2133
Practice Address - Country:US
Practice Address - Phone:929-395-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112125104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty