Prentis Smith, is a
Social Worker based in San Bernardino, California. Prentis Smith is licensed to practice in California (license number 118862) and his current practice location is
1481 Windsor Dr, San Bernardino, California. He can be reached at his office (for appointments etc.) via phone at
(909) 361-6470.
NPI number for Prentis Smith is 1306619036 and his current mailing address is 1414 N Riverside Ave Apt 107, Rialto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306619036.
Healthcare Provider's Profile
Full Name | Prentis Smith |
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Gender | Male |
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Speciality | Social Worker |
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Location | 1481 Windsor Dr, San Bernardino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306619036
- Provider Enumeration Date: 11/03/2023
- Last Update Date: 08/20/2024
Medical Identifiers
Medical identifiers for Prentis Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306619036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 118862 (California) | Secondary |
104100000X | Social Worker | 118862 (California) | 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. Prentis 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 |
Prentis Smith, 1414 N Riverside Ave Apt 107, Rialto, CA 92376-8065 Ph: (626) 606-7116 | Prentis Smith, 1481 Windsor Dr, San Bernardino, CA 92404-5416 Ph: (909) 361-6470 |
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