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

Mr. Kevin Gene Smith, MSW, CSOTP

Individual provider Clinical Social Worker · NPI 1992362875

Mr. Kevin Gene Smith, MSW, CSOTP is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1293 Page Rd
Raleigh, NC 27603-7334
Phone: (919) 801-8965
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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 P013478 (NC)

Record details

NPI number1992362875
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , CSOTP
Sole proprietorYes
NPI enumeratedMay 25, 2019
Last updated in NPPESMay 25, 2019

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 Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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