KATHRINE WILSON SMITH LCSW NPI 1679025365

NPI Information

NPI: 1679025365
Provider Name: KATHRINE WILSON SMITH, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4948 23RD ST
SACRAMENTO, CA
ZIP 95822
Phone: (916) 600-6285
Get Directions

Kathrine Wilson Smith, LCSW is a counselor in Sacramento, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kathrine Wilson Smith, LCSW NPI is 1679025365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4948 23RD ST
SACRAMENTO, CA
ZIP 95822-205
Phone: (916) 600-6285

The NPI 1679025365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/27/2016 and was last updated on 1/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		27789	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	27789	OTHER	CALIFORNIA	LCSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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