Isaac Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

75372 Issued in CA

Practice address

39420 Liberty St Ste 252
Fremont, CA 94538-2297

Phone

(925) 825-1793

NPI assigned

May 20, 2013

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Practice roles

Locations

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.

• Whole Wellness Therapy, a Licensed Clinical Social Worker Corporation

  • Mental Health Counselor
  • Fair Oaks, CA
  • NPI 1811536337
  NPD Authorized official
• Portia Bell Hume Behavioral Health and Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fremont, CA
  • NPI 1598994642
  NPD
• Portia Bell Hume Behavioral Health and Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fremont, CA
  • NPI 1801087366
  NPD

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1275979072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956281462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 252",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382297",
            "telephone_number": "925-825-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2618 J St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958164360",
            "country_code": "US",
            "telephone_number": "916-619-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ISAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Smith, PA
• Brandon J Smith, SUDCC I
• Brian E Smith, M.D.
• Hayley Taylor Smith
• Helen Pham Smith, NP
• Kristina Smith
• Mabel Smith, NP
• Matthew T Smith, PSY.D.
• Megan Alexis Smith, B.S.
• Michelle L. Smith, M.D.

• Clinical Social Worker in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.