# FATINA SMITH, LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447513346
- **Authorized official:** FATINA SMITH LCSW (OWNER)
- **Authorized official phone:** (703) 728-8329

## Contact information

- **Practice address:** 10560 MAIN ST, SUITE 317, FAIRFAX, VA 22030-7182
- **Practice address phone:** (703) 728-8329
- **Mailing address:** 10560 MAIN ST, SUITE 317, FAIRFAX, VA 22030-7182
- **Mailing address phone:** (703) 728-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904006958 | VA | Yes |

## Other

- **Enumeration date:** 06/17/2012
- **Last updated:** 08/15/2013
