Prentis Smith, is a
Social Worker based in Los Angeles, California. Prentis Smith is licensed to practice in California (license number 118862) and his current practice location is
840 N Avenue 66, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(626) 517-2368.
NPI number for Prentis Smith is 1306619036 and his current mailing address is 1414 N Riverside Ave Apt 107, Rialto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306619036.
Healthcare Provider's Profile
| Full Name | Prentis Smith |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 840 N Avenue 66, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306619036
- Provider Enumeration Date: 11/03/2023
- Last Update Date: 09/23/2025
Medical Identifiers
Medical identifiers for Prentis Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306619036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 118862 (California) | Secondary |
| 104100000X | Social Worker | 118862 (California) | 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. Prentis 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 |
Prentis Smith, 1414 N Riverside Ave Apt 107, Rialto, CA 92376-8065 Ph: (626) 606-7116 | Prentis Smith, 840 N Avenue 66, Los Angeles, CA 90042-1508 Ph: (626) 517-2368 |
Reviews and Comments