Active NPIIndividual providerSole proprietor

Adelaide S Smith, LICSW

Social Worker, Clinical in Cambridge, Massachusetts

NPI Number1114029006
Practice location
2464 Massachusetts Ave, Suite 220, Cambridge, MA 02140-1646
Fax
425-799-8790
Last updated
July 8, 2007

Adelaide S. Smith is a Social Worker, Clinical based in Cambridge, MA. Adelaide S. Smith practices in Cambridge, MA and has the professional credentials of LICSW. The NPI Number for Adelaide S. Smith is 1114029006 and holds a License No. ISW01640 (RI). The current practice location address for Adelaide S. Smith is 2464 Massachusetts Ave, Suite 220, Cambridge, MA 02140-1646 and can be reached out via phone at 617-930-6902 and via fax at 425-799-8790.

Provider Profile Details

NPI Number
1114029006
Provider Name
Adelaide S. Smith
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2464 Massachusetts Ave, Suite 220, Cambridge, MA 02140-1646
Phone Number
617-930-6902
Fax Number
425-799-8790
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2464 Massachusetts Ave
Suite 220
Cambridge, MA 02140-1646
Zip
02140-1646
Phone Number
617-930-6902
Fax Number
425-799-8790
Cambridge, MA 02140Get directions →

Provider Business Mailing Address Details

Address
1 Fitchburg St Apt C220
Somerville, MA 02143-2127
City
Somerville
State
MA
Zip
02143-2127
Phone Number
617-764-0056
Fax Number
425-799-8790

License Information

License Number (1)
ISW01640
License State (1)
RI
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
103294
License State (2)
MA
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 Adelaide S Smith, LICSW?

The NPI number of Adelaide S Smith, LICSW is 1114029006. It was assigned on September 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Adelaide S Smith, LICSW?

Adelaide S Smith, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW01640.

Where does Adelaide S Smith, LICSW practice?

The practice location is 2464 Massachusetts Ave, Suite 220, Cambridge, MA 02140-1646. The office can be reached at 617-930-6902 (phone) or 425-799-8790 (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 1114029006 directly on the NPPES registry website.

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