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

Shannon Raquel Smith, LCSW

Individual provider Clinical Social Worker · NPI 1548925209

Shannon Raquel Smith, LCSW is a Clinical Social Worker in Hattiesburg, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2021
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

140 Mayfair Rd Ste 700
Hattiesburg, MS 39402-1616
Phone: (601) 470-8108
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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 C9329 (MS)

Record details

NPI number1548925209
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 7, 2021
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

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