Active NPIIndividual provider

Sandra J Smith, LADC, CCS, LCSW

Social Worker, Clinical in Brunswick, Maine

NPI Number1043500929
Practice location
66 Baribeau Dr, Suite 1A, Brunswick, ME 04011-3230
Fax
207-373-6959
Last updated
September 9, 2025

Sandra J Smith is a Social Worker, Clinical based in Brunswick, ME. Sandra J Smith practices in Brunswick, ME and has the professional credentials of LADC, CCS, LCSW. The NPI Number for Sandra J Smith is 1043500929 and holds a License No. LC5088 (ME). The current practice location address for Sandra J Smith is 66 Baribeau Dr, Suite 1A, Brunswick, ME 04011-3230 and can be reached out via phone at 207-373-6996 and via fax at 207-373-6959.

Provider Profile Details

NPI Number
1043500929
Provider Name
Sandra J Smith
Credential
LADC, CCS, LCSW
Provider Entity Type
Individual
Gender
Female
Address
66 Baribeau Dr, Suite 1A, Brunswick, ME 04011-3230
Phone Number
207-373-6996
Fax Number
207-373-6959
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 13, 2011
Last Update Date
September 9, 2025
Certification Date
September 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Baribeau Dr
Suite 1A
Brunswick, ME 04011-3230
State
Maine
Zip
04011-3230
Phone Number
207-373-6996
Fax Number
207-373-6959
Brunswick, ME 04011Get directions →

Provider Business Mailing Address Details

Address
329 Maine St
Bh 3
Brunswick, ME 04011-3310
City
Brunswick
State
ME
Zip
04011-3310
Phone Number
207-373-6950
Fax Number
207-373-6959

License Information

License Number (1)
LC5088
License State (1)
ME
License Number (2)
CAC4728
License State (2)
ME
License Number (3)
LC23105
License State (3)
ME
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra J Smith, LADC, CCS, LCSW?

The NPI number of Sandra J Smith, LADC, CCS, LCSW is 1043500929. It was assigned on April 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Sandra J Smith, LADC, CCS, LCSW?

Sandra J Smith, LADC, CCS, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC5088.

Where does Sandra J Smith, LADC, CCS, LCSW practice?

The practice location is 66 Baribeau Dr, Suite 1A, Brunswick, ME 04011-3230. The office can be reached at 207-373-6996 (phone) or 207-373-6959 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043500929 directly on the NPPES registry website.

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