DARRELL DE'MARIO SMITH (NPI# 1558620294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558620294 |
| Entity Type | Individual |
| Full Name | DARRELL DE'MARIO SMITH |
| Practice Address |
4368 Lincoln Ave Oakland CA 94602-2529 |
| Mailing Address |
2545 San Pablo Ave Oakland CA 94612-1121 |
| Practice Telephone | 5105313111 |
| Mailing Telephone | 9372388903 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071769 | Darrell Smith Jr. | Clinic/Center | 6532 Burling St, Waco, TX 76712-7577 | 2015-04-30 |
| 1568765006 | Darrell Smith | Registered Nurse | 2907 Holland Rd, Green Bay, WI 54313-7097 | 2010-12-06 |
| 1114104189 | Darrell Smith | Counselor | 13283 Highway 155 North, Ore City, TX 75383-0398 | 2008-01-22 |
| 1700083912 | Darrell Smith | Registered Nurse | 114 Nw 6th St Ste 104, Oklahoma City, OK 73102-6089 | 2007-06-29 |
| 1619096765 | Darrell Dean Smith | Internal Medicine | 5456 E Lafayette Blvd, Phoenix, AZ 85018-4522 | 2007-03-28 |
| 1558422493 | Darrell Smith | Dentist | 1410 N Loop 336 W, Conroe, TX 77304-3504 | 2006-12-13 |
| 1598792103 | Darrell Marshall Smith | Specialist/Technologist | 3806 Quail Creek Dr, Dothan, AL 36303-1466 | 2006-06-27 |
| 1881660967 | Darrell Smith | Psychologist | 120 Balleroy Dr, Brentwood, TN 37027-4035 | 2006-02-27 |
| 1285622936 | Darrell Smith | Dentist | Psc 41 Box 5589, Apo, AE 09464 | 2005-10-07 |
| 1891947594 | Darrell George Smith | Dentist | 325 West Logan Highway, Garden City, UT 84028 | 2008-10-14 |
| Street Address |
4368 LINCOLN AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730266164 | Michael Semsky | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2006-11-01 |
| 1487002630 | Claudia Elizabeth Santuario | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2016-05-28 |
| 1205208444 | Felicia Ann Carter | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-10-27 |
| 1114395191 | Tia Barnes | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-09-09 |
| 1811364839 | Belinda Greenwood | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-25 |
| 1275909640 | Zena Rachelle Caputo | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1720454143 | Sarah Anne Almeida | Psychologist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1457727869 | Michaela Coates | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-19 |
| 1174999809 | Marina Clarisse Antonio | Student in an Organized Health Care Education/Training Program | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2015-08-17 |
| 1720487895 | Azita Munsif Azizi | Social Worker | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330332 | Sara M Haile | Counselor | 339 Lester Ave Apt B, Oakland, CA 94606-1335 | 2020-09-14 |
| 1891327490 | Steven E Blackman | Counselor | 5701 Walnut St, Oakland, CA 94605-1050 | 2020-02-11 |
| 1437796851 | Allen Temple Health & Social Services Ministry | Counselor | 8501 International Blvd., C-105, Oakland, CA 94621-1549 | 2019-12-04 |
| 1225670763 | Greg Joseph Cesena | Counselor | 2321 International Blvd, Oakland, CA 94601-1018 | 2019-10-16 |
| 1588219877 | Ramon Deandre Hall | Counselor | 8425 Macarthur Blvd, Oakland, CA 94605-3553 | 2019-08-05 |
| 1497300925 | Sandra Campbell | Counselor | 7511 Hillside St, Oakland, CA 94605-2821 | 2019-08-01 |
| 1992357057 | Christina Joi Jefferson | Counselor | 2815 West St, Oakland, CA 94608-4535 | 2019-07-09 |
| 1518525674 | Ma Concepsion Rivera Gonzalez | Counselor | 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 | 2019-06-04 |
| 1952873184 | Brenna Mchugh | Counselor | 5250 Redondo Ave, Oakland, CA 94618-1047 | 2018-12-28 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.