| Diadra Smith Licensed Clinical Social Worker Inc | |
|
1000 N Sepulveda Blvd Ste 280 Manhattan Beach CA 90266-5975 | |
| (562) 277-1965 | |
| Not Available |
| Full Name | Diadra Smith Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1000 N Sepulveda Blvd Ste 280, Manhattan Beach, California |
| Authorized Official Name and Position | Diadra Smith (OWNER) |
| Authorized Official Contact | 5622771965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diadra Smith Licensed Clinical Social Worker Inc 1620 Venice Blvd Apt 301 Venice CA 90291-5933 Ph: () - | Diadra Smith Licensed Clinical Social Worker Inc 1000 N Sepulveda Blvd Ste 280 Manhattan Beach CA 90266-5975 Ph: (562) 277-1965 |
| NPI Number | 1275468647 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275468647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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