Individual provider Active NPI

Kelly Lynn Smarkel, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1093065948
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94686 Issued in CA
Practice address
1380 Cornell Way
Sacramento, CA 95831-2208
Phone
(916) 346-3474
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 94686 CA Primary

Addresses

Primary practice location

1380 Cornell Way
Sacramento, CA 95831-2208

Mailing address

511 N Hollywood Way
Burbank, CA 91505-3406
Phone (916) 346-3474

Other names 1

  • Ms. Kelly Lynn Norris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, TX3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250513000992 AZ Practitioner - Clinical Social Worker 0648798751 Reassigns benefits to 1 organization
I20250516001859 CA Practitioner - Clinical Social Worker 0648798751 Reassigns benefits to 3 organizations
I20250521002666 TX Practitioner - Clinical Social Worker 0648798751 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94686CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of California Inc Clinical CurrentSince Apr 24, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Clinical CurrentSince Apr 24, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Clinical CurrentSince Apr 24, 2025 Accepting new patients
Minuteclinic LLC Clinical CurrentSince Apr 24, 2025 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Clinical CurrentSince Apr 24, 2025 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Clinical CurrentSince Apr 24, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Clinical Current Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

8332 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 776-3006

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

14330 Culver Dr
Irvine, CA 92604
Phone (949) 559-8129

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Organizations & group practices 7

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1093065948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N HOLLYWOOD WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053406",
            "telephone_number": "916-346-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CORNELL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312208",
            "telephone_number": "916-346-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARKEL",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "NORRIS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.