Individual
TRACI A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LCSW
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
1207 WADING POINT BLVD, HUGER, SC 29450-9805
(843) 693-7303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16623
SC
1041C0700X
Clinical Social Worker
C017432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
09/13/2017
Last updated
08/21/2024
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