Provider Demographics
NPI:1356234447
Name:RHONDA SMITH DSW LCSW SAP PLLC
Entity type:Organization
Organization Name:RHONDA SMITH DSW LCSW SAP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, DSW
Authorized Official - Phone:601-580-4267
Mailing Address - Street 1:2119 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-2535
Mailing Address - Country:US
Mailing Address - Phone:601-580-4267
Mailing Address - Fax:
Practice Address - Street 1:2119 W 10TH ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-2535
Practice Address - Country:US
Practice Address - Phone:601-580-4267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty