Paula Smith, ACSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASW90702 Issued in CA

Practice address

532 Santa Rita PL
Banning, CA 92220-1948

Phone

(951) 797-3166

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ferrees Group Home, Inc

  • Case Management Agency
  • Banning, CA
  • NPI 1881288215
  NPD
• Telecare Corporation

  • Health Maintenance Organization
  • San Bernardino, CA
  • NPI 1770741282
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1184182560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SANTA RITA PL",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922201948",
            "telephone_number": "951-797-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 SANTA RITA PL",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922201948",
            "telephone_number": "951-797-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAULA",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW90702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Simmons
• James L Simpson, PHARMD
• John Leslie Simpson
• Michael P Sloan, PHD
• Devone Smith
• Barry S. Solof, M.D.
• Jean Kathryn Solomon, MD
• Grace Eun-Kyeng Song, MD
• Soroptimist House of Hope, Inc.
• Joanna Garcia Soto, MS

• Mental Health Counselor in Banning, CA
• Providers in Banning, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.