Individual provider Active NPI

Kyra Imani Smith, LCSW

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1083276984
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122841 Issued in CA
Practice address
21535 Hawthorne Blvd Ste 200
Torrance, CA 90503-6612
Phone
(925) 744-6013
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X 102916 CA
Other Technician 247200000X
Rehabilitation Practitioner 225400000X CA
Clinical Social Worker 1041C0700X 122841 CA Primary

Addresses

Primary practice location

21535 Hawthorne Blvd Ste 200
Torrance, CA 90503-6612

Mailing address

406 E Hardy St Apt 6
Inglewood, CA 90301-8531

Other practice location 1

2400 E Katella Ave Ste 800
Anaheim, CA 92806-5955
Phone (714) 858-3590

Other practice location 2

2550 E Foothill Blvd
Pasadena, CA 91107-3406
Phone (626) 652-0755

Other practice location 3

27240 Turnberry Ln Ste 200
Valencia, CA 91355-1045
Phone (661) 289-6992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1083276984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E HARDY ST APT 6",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903018531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21535 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036612",
            "telephone_number": "925-744-6013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 E Katella Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928065955",
            "country_code": "US",
            "telephone_number": "714-858-3590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073406",
            "country_code": "US",
            "telephone_number": "626-652-0755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27240 Turnberry Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913551045",
            "country_code": "US",
            "telephone_number": "661-289-6992",
            "fax_number": "866-504-8308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYRA",
        "middle_name": "IMANI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "102916",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.