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

Kynesha Smith, LISW-CP

Individual provider Social Worker · NPI 1609586155

Kynesha Smith, LISW-CP is a Clinical Social Worker in St Petersburg, Florida. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

7901 4th St N Ste 4000
St Petersburg, FL 33702-4305
Phone: (404) 981-5004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 136 Forum Dr Ste 4, Columbia, SC 29229-7980 — (706) 928-6260

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 15703 (SC)
Social Worker Taxonomy 104100000X · Licence 13386 (SC)

Record details

NPI number1609586155
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorYes
NPI enumeratedNovember 24, 2022
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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