Mr. Michael Smith LICSW
Clinical Social Worker in Worcester, MA(View on Map)
Full Name
Mr. Michael Smith LICSW
NPI Number
1598707374
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/13/2006
Specialties
(Taxonomies)Licenses
State
Massachusetts
Rhode Island
Rhode Island
License Number
117423
CSW00841
ISW01811
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 415348
291 LINCOLN ST
City
Boston
Worcester
State
MA
MA
Postal Code
02241
01605-3643
Country
US
US
Telephone Number
(401) 524-8027
(508) 334-3240
Identifiers
Identifier
MS59551
1020890
Identifier State
RI
RI
Identifier Issuer
Unknown
BEACON/NHP
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/10/2015