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NPI Code Detail

MEDICARE: ERIKAH SMALLS ASW

MEDICARE: ERIKAH SMALLS ASW
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 WorkerASW126006CA

General Provider Information

NPI Number : 1467198713
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKAH SMALLS ASW
Provider Business Mailing Address
First Line : 823 GATEWAY CENTER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4541
Country : US
Telephone Number : 619-515-2300
Fax Number :
Provider Business Practice Location Address
First Line : 2204 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-3615
Country : US
Telephone Number : 619-515-2355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2022
Last Update Date : 02/18/2026

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Directions to “ ERIKAH SMALLS ASW” Practice Location

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