| Betty J. Smith Lcsw | |
|
111 No. La Brea Suite 611 Inglewood CA 90301 | |
| (310) 412-1523 | |
| (310) 330-4723 |
| Full Name | Betty J. Smith Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 No. La Brea, Inglewood, California |
| Authorized Official Name and Position | Betty J Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3104121523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty J. Smith Lcsw Po Box 1070 Inglewood CA 90308-1070 Ph: (310) 412-1523 | Betty J. Smith Lcsw 111 No. La Brea Suite 611 Inglewood CA 90301 Ph: (310) 412-1523 |
| NPI Number | 1396895959 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396895959 | NPI | - | NPPES |
| LLOO7975 | Other | CA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LL007975 (California) | Primary |
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