| Doctor Name: | RICHELLE LAFAYE SMALLWOOD |
| NPI Number: | 1124408190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSWA |
| License Number: | P008744 |
| Business Practice Address: | 1141 N Railroad Street Suite L Elizabeth City, NC - 279093354 |
| Business Phone Number: | 2523350803 |
| Business Fax Number: | 2523311796 |
| Mailing Address: | 4300 Sapphire Ct Ste 110, GREENVILLE |
| State: | NC |
| Postal Code: | 278349079 |
| Phone Number: | 2528307561 |
| Fax Number: | 2524130932 |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P008744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |