Active NPIIndividual providerSole proprietor

Sandra L Smith, LICSW

Social Worker, Clinical in Kingston, Massachusetts

NPI Number1164905964
Practice location
12 White Pine Ln, Kingston, MA 02364-1046
Fax
—
Last updated
September 8, 2018

Sandra Louise Smith is a Social Worker, Clinical based in Kingston, MA. Sandra Louise Smith practices in Kingston, MA and has the professional credentials of LICSW. The NPI Number for Sandra Louise Smith is 1164905964 and holds a License No. 1027040 (MA). The current practice location address for Sandra Louise Smith is 12 White Pine Ln, Kingston, MA 02364-1046 and can be reached out via phone at 781-585-3395.

Provider Profile Details

NPI Number
1164905964
Provider Name
Sandra Louise Smith
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
12 White Pine Ln, Kingston, MA 02364-1046
Phone Number
781-585-3395
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2018
Last Update Date
September 8, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 White Pine Ln
Kingston, MA 02364-1046
Zip
02364-1046
Phone Number
781-585-3395
Kingston, MA 02364Get directions →

Provider Business Mailing Address Details

Address
12 White Pine Ln
Kingston, MA 02364-1046
City
Kingston
State
MA
Zip
02364-1046
Phone Number
781-585-3395

License Information

License Number
1027040
License State
MA
Taxonomy
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 L Smith, LICSW?

The NPI number of Sandra L Smith, LICSW is 1164905964. It was assigned on September 8, 2018 and is currently active in the NPPES registry.

What is the specialty of Sandra L Smith, LICSW?

Sandra L Smith, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1027040.

Where does Sandra L Smith, LICSW practice?

The practice location is 12 White Pine Ln, Kingston, MA 02364-1046. The office can be reached at 781-585-3395 (phone).

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 1164905964 directly on the NPPES registry website.

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