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NPI Code Detail

MEDICARE: MRS. SHABREN HARVEY-SMITH LCSW

MEDICARE: MRS. SHABREN HARVEY-SMITH LCSW
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
11041C0700XClinical Social Worker26344CA

General Provider Information

NPI Number : 1326137332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHABREN HARVEY-SMITH LCSW
Provider Business Mailing Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-266-8400
Fax Number :
Provider Business Practice Location Address
First Line : 2730 SHADELANDS DR BLDG 10
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2538
Country : US
Telephone Number : 925-266-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 01/28/2019

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