MEDICARE: KELSEY SMITH

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	1041C0700X	Clinical Social Worker	75954	CA

General Provider Information

NPI Number	:	1114453123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY SMITH

Provider Business Mailing Address
First Line	:	14535 3/4 DICKENS ST
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-3761
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14535 3/4 DICKENS ST
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-3761
Country	:	US
Telephone Number	:	513-673-5017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	12/15/2021

Similar Medicare Providers

1336999671 — JESSICA YOOKYUNG LEE LCSW
Practice Location Address:

14535 DICKENS ST
SHERMAN OAKS, CA
91403-3761

Practice Phone: 949-233-1862
Practice Fax:

1750082137 — MENTABILITY HEALTH, LLC
Practice Location Address:

4602 IMPERIAL OAKS LN
UPPER MARLBORO, MD
20772-3761

Practice Phone: 301-818-1611
Practice Fax:

1801772066 — JESSICA LYNN MARTIN LSW
Practice Location Address:

3761 ASHLEY OAKS DR
LAFAYETTE, IN
47905-6024

Practice Phone: 765-615-7856
Practice Fax:

1083700041 — OLUYEMI AINA M.D.
Practice Location Address:

1601 N TRAVIS ST
SHERMAN, TX
75092-3761

Practice Phone: 903-328-6556
Practice Fax: 903-868-0282

1144872706 — MILKA KAMAU
Practice Location Address:

1601 N TRAVIS ST
SHERMAN, TX
75092-3761

Practice Phone: 903-221-8015
Practice Fax:

1619677473 — REBECCA OLUBUNMI JAIYESIMI
Practice Location Address:

1601 N TRAVIS ST
SHERMAN, TX
75092-3761

Practice Phone: 903-328-6556
Practice Fax:

Directions to “ KELSEY SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.