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Lakesha Smith

Physician β€’ Waldorf, MD

Active NPI 1154165967 Individual Practitioner Female Practitioner
Practice location in NPPES

2255 Crain Hwy Ste 105
Waldorf, MD 206013186

Call 4436480744 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2255 Crain Hwy Ste 105

Waldorf, MD 206013186

Telephone 4436480744
Organization at the Same NPPES Address or Phone
Revive Therapeutic Counseling Services Facility NPI 1609503192

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-30
Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 30, 2026

Registered at 2255 CRAIN HWY STE 105, WALDORF, MD 206013186 (Tel: 4436480744)

πŸ“
Updated Business Mailing Address September 30, 2026

Registered at 2255 CRAIN HWY. SUITE 105, OFFICES 1-13 &1-15, WALDORF, MD 206013186 (Tel: 4436480744)

βœ…
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 25, 2024

Registered at 606 BALTIMORE AVE STE 402G, TOWSON, MD 212044073 (Tel: 4436480744)

πŸ“
Business Mailing Address (Initial Record) June 25, 2024

Registered at 606 BALTIMORE AVE STE 402G, TOWSON, MD 212044073 (Tel: 4436480744)

πŸ‘€
Provider Name / Credentials (Initial Record) June 25, 2024

Recorded as LAKESHA SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154165967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: September 30, 2026
Sole Proprietor: Yes

Mailing Address

2255 Crain Hwy. Suite 105, Offices 1-13 &1-15

Waldorf, MD 206013186

Phone: 4436480744

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.