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

Stacey S Smith, LCSW

Individual provider Clinical Social Worker · NPI 1730441296

Stacey S Smith, LCSW is a Clinical Social Worker in Norfolk, Virginia. Qualified in 1998, 28 years ago. Practices with Bold Ruler LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
28
Licensed in
VA
In the registry since
2012
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

821 W 21st St Ste 209
Norfolk, VA 23517-1500
Phone: (757) 625-5598
Fax: (757) 585-3521
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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 0904007952 (VA)

Record details

NPI number1730441296
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address208 Burleigh Ave, Norfolk, VA 23505-3413

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Bold Ruler Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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