MEDICARE: THE WELL BEING COLLECTIVE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1073451118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELL BEING COLLECTIVE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Provider Business Mailing Address
First Line	:	8549 WILSHIRE BLVD # 3356
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 21ST ST STE 15354
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95811-5226
Country	:	US
Telephone Number	:	323-510-6975
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TARA SMITH
Credential	:	LCSW
Telephone Number	:	323-510-6975

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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