MEDICARE: MAKISHA MICHELLE 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	390200000X	Student in an Organized Health Care Education/Training Program	AMFT158217	CA

General Provider Information

NPI Number	:	1215776331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKISHA MICHELLE SMITH

Provider Business Mailing Address
First Line	:	1301 H ST APT 103
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-1961
Country	:	US
Telephone Number	:	916-730-1783
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 H ST APT 103
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-1961
Country	:	US
Telephone Number	:	916-730-1783
Fax Number	:

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

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	03/25/2026

Similar Medicare Providers

1396523809 — ANN NJERU RN
Practice Location Address:

1961 HOWE AVE APT 74
SACRAMENTO, CA
95825-0986

Practice Phone: 916-693-5490
Practice Fax:

1881535235 — RESOURCES FOR INDEPENDENT LIVING
Practice Location Address:

420 I ST STE 3
SACRAMENTO, CA
95814-2319

Practice Phone: 916-446-3074
Practice Fax:

1942032271 — SEEN MEDICAL GROUP OF CA PC
Practice Location Address:

1325 J ST STE 1550
SACRAMENTO, CA
95814-2976

Practice Phone: 339-793-8998
Practice Fax:

1972006997 — RICKI MOULTON
Practice Location Address:

711 G ST
SACRAMENTO, CA
95814-1212

Practice Phone: 916-639-7522
Practice Fax:

1902745144 — AVAETA AHLUWALIA MSW
Practice Location Address:

651 I ST
SACRAMENTO, CA
95814-2400

Practice Phone: 916-874-5222
Practice Fax:

1508744582 — TRACY XIONG ACSW
Practice Location Address:

651 I ST
SACRAMENTO, CA
95814-2400

Practice Phone: 916-874-5222
Practice Fax:

Directions to “ MAKISHA MICHELLE 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.