Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina Watson Smith, MDIVLISWCP

Individual provider Clinical Social Worker · NPI 1639273980

Gina Watson Smith, MDIVLISWCP is a Clinical Social Worker in Sumter, South Carolina. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
34
Licensed in
SC
In the registry since
2006
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Practice location Address checks out

1305 Loring Mill Rd
Sumter, SC 29150
Phone: (803) 968-1138
Fax: (803) 905-5209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5329 (SC)

Record details

NPI number1639273980
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDIVLISWCP
Sole proprietorNo
NPI enumeratedSeptember 8, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sumter