Provider Demographics
NPI:1154622025
Name:SMITH, VERNON F JR (SOCIAL WORKER I)
Entity type:Individual
Prefix:
First Name:VERNON
Middle Name:F
Last Name:SMITH
Suffix:JR
Gender:
Credentials:SOCIAL WORKER I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 STOCKDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1000
Mailing Address - Country:US
Mailing Address - Phone:661-322-1021
Mailing Address - Fax:661-322-7334
Practice Address - Street 1:2001 WHEELAN CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4975
Practice Address - Country:US
Practice Address - Phone:661-241-5095
Practice Address - Fax:661-322-7334
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No172V00000XOther Service ProvidersCommunity Health Worker