Ebony Smith, is a
Community Health Worker based in Stockton, California. Ebony Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
2105 W March Ln, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(916) 913-0822.
NPI number for Ebony Smith is 1568010833 and her current mailing address is 2105 W March Ln Ste 2, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568010833.
Healthcare Provider's Profile
| Full Name | Ebony Smith |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2105 W March Ln, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568010833
- Provider Enumeration Date: 08/29/2019
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Ebony Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568010833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ebony Smith, 2105 W March Ln Ste 2, Stockton, CA 95207-6422 Ph: (916) 913-0822 | Ebony Smith, 2105 W March Ln, Stockton, CA 95207-6462 Ph: (916) 913-0822 |
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