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

Individual provider Clinical Social Worker · NPI 1306665344

Shavaughn Lee Gordon Meyer, LCSW is a Clinical Social Worker in Smithfield, Virginia. Qualified in 2022, 4 years ago. Practices with Western Tidewater Community Mental, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2024
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

352 Sycamore Walk
Smithfield, VA 23430
Phone: (805) 827-4369
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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

Record details

NPI number1306665344
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Western Tidewater Community Mental — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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