| Kristen Michelle Smith, LICSW | |
|
1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | |
| (617) 414-5245 | |
| (617) 414-5520 |
| Full Name | Kristen Michelle Smith |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 1 Boston Medical Ctr Pl, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013204767 | NPI | - | NPPES |
| 110146704A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 217194 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121364 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Tmin Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225734262 PECOS PAC ID: 0840657862 Enrollment ID: O20230607001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Michelle Smith, LICSW 960 Massachusetts Ave, Fl 2, Boston, MA 02118 Ph: () - | Kristen Michelle Smith, LICSW 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 Ph: (617) 414-5245 |
Julie Ann Hansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 857-218-4309 | |
Ms. Bridget Kiely Chiaruttini, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 W Springfield St Apt 3, Boston, MA 02118 Phone: 617-852-2830 | |
Mrs. Mary Ray Mazaka, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1153 Centre St, 2nd Floor, Boston, MA 02130 Phone: 617-983-7233 Fax: 617-983-7231 | |
Mr. Timothy Roy, BA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 American Legion Hwy, Preschool Outreach Program, Boston, MA 02131 Phone: 617-469-8500 | |
Ms. Soyun Kwan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Children's Hospital Boston, Boston, MA 02115 Phone: 617-355-0567 Fax: 617-730-0208 | |
Mr. Bradley Oliver Levy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1353 Dorchester Ave, Boston, MA 02122 Phone: 617-288-3230 Fax: 617-282-0954 | |
Sarah Bayer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 |