Active NPIIndividual providerSole proprietor

Kerry L Smith, LCSW

Social Worker, Clinical in Deep River, Connecticut

NPI Number1043711039
Practice location
37 River RD, Deep River, CT 06417-2117
Fax
860-388-9656
Last updated
December 30, 2021

Kerry Lynn Smith is a Social Worker, Clinical based in Deep River, CT. Kerry Lynn Smith practices in Deep River, CT and has the professional credentials of LCSW. The NPI Number for Kerry Lynn Smith is 1043711039 and holds a License No. 004428 (CT). The current practice location address for Kerry Lynn Smith is 37 River RD, Deep River, CT 06417-2117 and can be reached out via phone at 860-391-3647 and via fax at 860-388-9656.

Provider Profile Details

NPI Number
1043711039
Provider Name
Kerry Lynn Smith
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
37 River RD, Deep River, CT 06417-2117
Phone Number
860-391-3647
Fax Number
860-388-9656
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 24, 2018
Last Update Date
December 30, 2021
Certification Date
December 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 River RD
Deep River, CT 06417-2117
Zip
06417-2117
Phone Number
860-391-3647
Fax Number
860-388-9656
Deep River, CT 06417Get directions →

Provider Business Mailing Address Details

Address
37 River RD
Deep River, CT 06417-2117
City
Deep River
State
CT
Zip
06417-2117
Phone Number
860-391-3647

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
004428
License State (2)
CT
Taxonomy (2)
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 Kerry L Smith, LCSW?

The NPI number of Kerry L Smith, LCSW is 1043711039. It was assigned on February 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Kerry L Smith, LCSW?

Kerry L Smith, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 004428.

Where does Kerry L Smith, LCSW practice?

The practice location is 37 River RD, Deep River, CT 06417-2117. The office can be reached at 860-391-3647 (phone) or 860-388-9656 (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 1043711039 directly on the NPPES registry website.

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