Mealani Marie Smith, ASCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW84568 Issued in CA

Practice address

1023 4TH St Ste D
Santa Rosa, CA 95404-4310

Phone

(707) 494-6194

NPI assigned

May 26, 2020

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mealani Smith Licensed Clinical Social Worker PC

  dba Embodied self therapy

  • Clinical Social Worker
  • Windsor, CA
  • NPI 1437994183
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1740803709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 YATES DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054705",
            "telephone_number": "707-494-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 4TH ST STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044310",
            "telephone_number": "707-494-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Yates Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054705",
            "country_code": "US",
            "telephone_number": "707-494-6194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9240 Old Redwood Hwy Unit 200",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CA",
            "postal_code": "954929349",
            "country_code": "US",
            "telephone_number": "707-494-6194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEALANI",
        "middle_name": "MARIE",
        "credential": "ASCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW84568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leona M Smith, MFT
• Lydia Ann Smith, FNP
• Lyndy Mae Smith
• Mary Therese Smith, MFT
• Maxwell Edison Smith, PT, DPT
• Melissa Catherine Smith, NP
• Orion Smith
• Rachel Janeane Smith
• Robert J Smith, P.A.
• Ryan Alexander Smith, M.D.

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, 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 25, 2024; 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.