| Mealani Smith Licensed Clinical Social Worker Pc | |
|
9240 Old Redwood Hwy Unit 200 Windsor CA 95492-9349 | |
| (707) 494-6194 | |
| Not Available |
| Full Name | Mealani Smith Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9240 Old Redwood Hwy Unit 200, Windsor, California |
| Authorized Official Name and Position | Mealani M Smith (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7074946194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mealani Smith Licensed Clinical Social Worker Pc 328 Yates Dr Santa Rosa CA 95405-4705 Ph: (707) 494-6194 | Mealani Smith Licensed Clinical Social Worker Pc 9240 Old Redwood Hwy Unit 200 Windsor CA 95492-9349 Ph: (707) 494-6194 |
| NPI Number | 1437994183 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437994183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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