VA SMILE FOUNDATION INC. NPI 1043051642

NPI Information

  • NPI: 1043051642
  • Provider Name: VA SMILE FOUNDATION, INC.
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 12 MUSKET LN
    HAMPTON, VA
    ZIP 23666
  • Phone: (757) 927-7477

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NPI Details

VA SMILE FOUNDATION, INC. is a clinical social worker in Hampton, VA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. VA SMILE FOUNDATION, INC. NPI is 1043051642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 MUSKET LN
HAMPTON, VA
ZIP 23666-345
Phone: (757) 927-7477
Fax: (757) 654-3194

The provider's authorized official is Kenyuatia Lynn Gash .
The authorized official title is Chief Executive Officer and has the following contact phone number (757) 927-7477.

The enumeration date for this NPI number is 6/5/2024 and was last updated on 6/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes
2251B00000XCase ManagementNo

What is NPI?

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This page was last updated on: 11/21/2025

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