Kathryn Smyth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100587 Issued in CA

Practice address

15305 Rayen St
North Hills, CA 91343

Phone

(818) 892-3423

Fax

(818) 893-4509

NPI assigned

Apr 8, 2019

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

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1760945737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 RAYEN ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435117",
            "telephone_number": "818-892-3423",
            "fax_number": "818-893-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 RAYEN ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-892-3423",
            "fax_number": "818-893-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6736 Laurel Canyon Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916061576",
            "country_code": "US",
            "telephone_number": "818-755-8786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW85651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Vanessa Smith
• Delores Smith, CAADE CATCI #6963
• Dianne Vernalene Smith, M.S.
• Elizabeth Smith
• Monica Palma Smith, M.A.
• So-Cal Community Health Center
• Socal NP Medical Services, Inc
• Mahideh Soleimani
• Soleyman Coehn-Sedgh,D.D.S., Inc. (West Coast Dental Group of North Hills)
• Sonotech Diagnostics

• Clinical Social Worker in North Hills, CA
• Providers in North Hills, 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 Mar 26, 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.