Pauline Pearl Smith, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS1054 Issued in CA

Practice address

11388 W Olympic Blvd
Los Angeles, CA 90064

Phone

(310) 268-2545

Fax

(310) 235-2784

NPI assigned

Oct 23, 2006

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

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598848384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 VIA MARISOL",
            "address_2": "#236",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90042",
            "telephone_number": "310-268-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11388 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "310-268-2545",
            "fax_number": "310-235-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAULINE",
        "middle_name": "PEARL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Breann Smith, AGACNP-BC
• Pamela Smith, MD
• Pamela Smith
• Pamela Ann Smith
• Pauline Ann Torio Smith, NP
• Peyton Smith
• Prentis Smith
• Quanasia Smith, RDH
• Raeana Smith
• Randall Smith

• Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.