| Ms Traci Mutzabaugh Smith, LCSW | |
|
3580 Forest Haven Ln, Suite B, Chesapeake, VA 23321-5134 | |
| (757) 398-2881 | |
| (757) 483-0707 |
| Full Name | Ms Traci Mutzabaugh Smith |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 3580 Forest Haven Ln, Chesapeake, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477589372 | NPI | - | NPPES |
| 11433361 | Other | VA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005929 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brenda Lee Davis Ma Lpc Llc | 2163840083 | 3 |
| Entity Name | Brenda Lee Davis Ma Lpc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366762270 PECOS PAC ID: 2163840083 Enrollment ID: O20210624001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Traci Mutzabaugh Smith, LCSW 3580 Forest Haven Ln, Suite B, Chesapeake, VA 23321-5134 Ph: (757) 398-2881 | Ms Traci Mutzabaugh Smith, LCSW 3580 Forest Haven Ln, Suite B, Chesapeake, VA 23321-5134 Ph: (757) 398-2881 |
Ashley Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 Nottaway Dr, Chesapeake, VA 23320 Phone: 757-553-7698 | |
Dr. Linda Sue Mintle, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Watch Island Reach, Chesapeake, VA 23320 Phone: 757-549-2255 Fax: 757-549-2255 | |
Sentoria H Harold, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 Ventures Way Ste 4, Chesapeake, VA 23320 Phone: 757-752-5743 | |
Eileen Buck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Eden Way N Ste 123, Chesapeake, VA 23320 Phone: 757-698-4247 | |
Jacquelyn Feliciano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-819-6219 Fax: 757-819-6292 | |
Josette M Creel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Great Bridge Blvd, City Of Chesapeake Ta Chesap. Comm.serv Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 | |
Mrs. Shaena Wiggins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2707 Faulkner Dr, Chesapeake, VA 23321 Phone: 757-515-9392 |