Active NPIIndividual provider

Mrs. Jessica Smith, LICSW

Social Worker, Clinical in Bedford, Massachusetts

NPI Number1649305558
Practice location
15 Mudge Way, Bedford, MA 01830
Fax
—
Last updated
July 8, 2007

Jessica Smith is a Social Worker, Clinical based in Bedford, MA. Jessica Smith practices in Bedford, MA and has the professional credentials of LICSW. The NPI Number for Jessica Smith is 1649305558 and holds a License No. 113281 (MA). The current practice location address for Jessica Smith is 15 Mudge Way, Bedford, MA 01830 and can be reached out via phone at 781-275-7727.

Provider Profile Details

NPI Number
1649305558
Provider Name
Jessica Smith
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
15 Mudge Way, Bedford, MA 01830
Phone Number
781-275-7727
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Mudge Way
Bedford, MA 01830
Zip
01830
Phone Number
781-275-7727
Bedford, MA 01830Get directions →

Provider Business Mailing Address Details

Address
3 Fletcher RD
Westford, MA 01886
City
Westford
State
MA
Zip
01886
Phone Number
978-692-7650

License Information

License Number
113281
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 Mrs. Jessica Smith, LICSW?

The NPI number of Mrs. Jessica Smith, LICSW is 1649305558. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica Smith, LICSW?

Mrs. Jessica Smith, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113281.

Where does Mrs. Jessica Smith, LICSW practice?

The practice location is 15 Mudge Way, Bedford, MA 01830. The office can be reached at 781-275-7727 (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 1649305558 directly on the NPPES registry website.

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