Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Fabray Dealow Smith-Wiggins, LCSW

Individual provider Clinical Social Worker · NPI 1821425372

Mrs. Fabray Dealow Smith-Wiggins, LCSW is a Clinical Social Worker in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

124 NW Madison St
Lake City, FL 32055-3922
Phone: (386) 209-0619
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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 SW22559 (FL)

Record details

NPI number1821425372
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 30, 2013
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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