Kellie Smith, is a
Community Health Worker based in Cleveland, Ohio. Kellie Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
3500 Carnegie Ave, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 234-2006.
NPI number for Kellie Smith is 1679342521 and her current mailing address is 434 Eastland Rd, Berea, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679342521.
Healthcare Provider's Profile
| Full Name | Kellie Smith |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
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| Location | 3500 Carnegie Ave, Cleveland, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679342521
- Provider Enumeration Date: 12/20/2023
- Last Update Date: 01/11/2024
Medical Identifiers
Medical identifiers for Kellie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679342521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kellie Smith,
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 234-2006 | Kellie Smith,
3500 Carnegie Ave,
Cleveland, OH 44115-2641
Ph: (440) 234-2006 |
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