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

Wilson Shadwell Smith

Individual provider Clinical Social Worker · NPI 1154007573

Wilson Shadwell Smith is a Clinical Social Worker in Beckley, West Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

25 Mallard Ct
Beckley, WV 25801
Phone: (304) 255-7526
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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 number1154007573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address1565 Pluto Road, Shady Spring, WV 25918

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