Individual
KELLY SANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
3411 DELAWARE AVE, RICHMOND, VA 23222-2912
(804) 845-1015
Mailing address
3411 DELAWARE AVE, RICHMOND, VA 23222-2912
(804) 845-1015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904016388
VA
1041C0700X
Clinical Social Worker
112157
CA
1041C0700X
Clinical Social Worker
61469825
WA
1041C0700X
Clinical Social Worker
Primary
R054827-1
NY
Other
Enumeration date
05/10/2006
Last updated
04/13/2026
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