Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grady Sullivan Smith

Individual provider Community Health Worker · NPI 1245992254

Grady Sullivan Smith is a Community Health Worker in Apple Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone: (760) 552-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 137426 (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1245992254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 7, 2021
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing addressPo Box 312, Helendale, CA 92342-0312

Other providers in Apple Valley