Mr Kenneth David Smith, LCSW - Clinical Social Worker in Grants Pass, OR

Mr Kenneth David Smith, LCSW is a Social Worker - Clinical based in Grants Pass, Oregon. Mr Kenneth David Smith is licensed to practice in Oregon (license number L11298) and his current practice location is 524 Nw Woodson Dr, Grants Pass, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 264-5687.

NPI number for Mr Kenneth David Smith is 1447704770 and his current mailing address is 524 Nw Woodson Dr, Grants Pass, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447704770.

Contact Information

Mr Kenneth David Smith, LCSW
524 Nw Woodson Dr,
Grants Pass, OR 97526-1174
(541) 264-5687
(541) 205-9431



Healthcare Provider's Profile

Full NameMr Kenneth David Smith
GenderMale
SpecialitySocial Worker - Clinical
Location524 Nw Woodson Dr, Grants Pass, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447704770
  • Provider Enumeration Date: 08/03/2016
  • Last Update Date: 08/27/2023

Medical Identifiers

Medical identifiers for Mr Kenneth David Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447704770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 43576 (Idaho)Secondary
1041C0700XSocial Worker - Clinical L11298 (Oregon)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. Mr Kenneth David 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 AddressPractice Location Address
Mr Kenneth David Smith, LCSW
524 Nw Woodson Dr,
Grants Pass, OR 97526-1174

Ph: (541) 291-1377
Mr Kenneth David Smith, LCSW
524 Nw Woodson Dr,
Grants Pass, OR 97526-1174

Ph: (541) 264-5687

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› Verified 3 days ago


Social Worker in Grants Pass, OR

Mr. Scott E. Willi, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527
Phone: 541-476-2373    Fax: 541-476-1526
Stephen Raleigh I,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1181 Sw Ramsey Ave, Grants Pass, OR 97527
Phone: 541-476-2373    
Suellen Mitzner Willi, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2576 New Hope Rd, Grants Pass, OR 97527
Phone: 541-479-1544    
Mr. Robert Lewis Morse, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527
Phone: 541-476-2373    Fax: 541-476-1526
Jason Matthew Brown, B.A.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527
Phone: 541-956-5463    
Elizabeth Anne Mabry, CSWI
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526
Phone: 541-471-3455    
Pamela Mccorkle,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 217 Ne C St, Grants Pass, OR 97526
Phone: 541-630-0079    

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