MEDICARE: ELIZABETH JOYCE 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	127855	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ASW127855	OTHER	CA	BBS ASCW REGISTRATION

General Provider Information

NPI Number	:	1821361965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JOYCE SMITH

Provider Business Mailing Address
First Line	:	5121 STOCKDALE HWY STE 210
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-2664
Country	:	US
Telephone Number	:	661-473-1500
Fax Number	:	661-412-0363

Provider Business Practice Location Address
First Line	:	5121 STOCKDALE HWY STE 210
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-2664
Country	:	US
Telephone Number	:	661-473-1500
Fax Number	:	661-412-0363

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

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	06/13/2025

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