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NPI Code Detail

MEDICARE: JONI MARIE SMITH ACSW

MEDICARE: JONI MARIE SMITH ACSW
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 Worker109242CA
2101YM0800XMental Health Counselor109242CA
3104100000XSocial Worker109242CA

General Provider Information

NPI Number : 1649581158
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI MARIE SMITH ACSW
Provider Business Mailing Address
First Line : 777 S FIGUEROA ST STE 810
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5813
Country : US
Telephone Number : 888-588-8995
Fax Number :
Provider Business Practice Location Address
First Line : 777 S FIGUEROA ST STE 810
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5813
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2010
Last Update Date : 04/16/2024

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Directions to “ JONI MARIE SMITH ACSW” Practice Location

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