| Aracoma Smith, Lcsw, Pllc | |
|
3715 Latimers Knoll Ct Ste 103 Fredericksburg VA 22408-7361 | |
| (540) 361-1844 | |
| (540) 361-1874 |
| Full Name | Aracoma Smith, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3715 Latimers Knoll Ct Ste 103, Fredericksburg, Virginia |
| Authorized Official Name and Position | Aracoma S Smith (OWNER) |
| Authorized Official Contact | 5403611844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aracoma Smith, Lcsw, Pllc 3715 Latimers Knoll Ct Ste 103 Fredericksburg VA 22408-7361 Ph: (540) 361-1844 | Aracoma Smith, Lcsw, Pllc 3715 Latimers Knoll Ct Ste 103 Fredericksburg VA 22408-7361 Ph: (540) 361-1844 |
| NPI Number | 1649316282 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 9638276744 |
|---|---|
| Medicare Enrollment ID | O20070524000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649316282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aracoma S Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356392476 PECOS PAC ID: 3274630389 Enrollment ID: I20070524000711 |
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