Ms Kara Leigh Smith, | |
204 Hampton Dr, Venice, CA 90291-2623 | |
(310) 396-6468 | |
Not Available |
Full Name | Ms Kara Leigh Smith |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 204 Hampton Dr, Venice, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003116781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 100110 (California) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Cognitive Care Solutions Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548614183 PECOS PAC ID: 5698066124 Enrollment ID: O20160614000770 |
Mailing Address | Practice Location Address |
---|---|
Ms Kara Leigh Smith, 1801 E Wardlow Rd Apt 2, Long Beach, CA 90807-4957 Ph: (323) 286-1016 | Ms Kara Leigh Smith, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 396-6468 |
Adriana Viola White, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-614-7801 Fax: 310-392-8402 | |
Ms. Shawnee Isaac Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Indiana Ave, Venice, CA 90291 Phone: 310-570-5856 | |
Cameron Young, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Sarah Rose Zemp, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-622-0708 | |
Michal Eagle Hilda Rogers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 818-785-0103 | |
Rachel Hirschberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 424-200-5397 |