Ebony Lea'shay Smith, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Parksley, Virginia. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
18469 Dunne Ave, Parksley, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 665-5041.
Ebony Lea'shay Smith is licensed to practice in Virginia (license number 0904018379) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619767654.
Healthcare Provider's Profile
| Full Name | Ebony Lea'shay Smith |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 18469 Dunne Ave, Parksley, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ebony Lea'shay Smith graduated from medical school in 2022
NPI Data:
- NPI Number: 1619767654
- Provider Enumeration Date: 05/12/2025
- Last Update Date: 05/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527570696
- Enrollment ID: I20250624003222
Medical Identifiers
Medical identifiers for Ebony Lea'shay Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619767654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 0904018379 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Lea'shay Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ebony Lea'shay Smith, LCSW Po Box 318, Tasley, VA 23441-0318 Ph: (757) 442-3636 | Ebony Lea'shay Smith, LCSW 18469 Dunne Ave, Parksley, VA 23421 Ph: (757) 665-5041 |
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