Smith, Jeffrey Sargent
Smith, Jeffrey Sargent is an sole proprietor health care provider with primary practice located at 26 Granite State Ct , Brewster MA 02631-2127. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Smith, Jeffrey Sargent can be contacted via phone (508) 240-1471.Contact Information
Primary practice address
26 Granite State Ct
Brewster MA 02631-2127
Phone: (508) 240-1471
Fax: (508) 240-1471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3050 | Massachusetts |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 440 | Massachusetts |
Profile Details
| NPI number | 1568515005 |
|---|---|
| LBN Legal business name | Smith, Jeffrey Sargent |
| Credentials | LMHC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568515005 | NPPES |
| Massachusetts | Other | S029341 | CHAMPUS |
| Massachusetts | Other | 9397166 | CHAMPUS |
| Massachusetts | Other | 7199181 | CHAMPUS |
| Massachusetts | Other | 790687 | CHAMPUS |
| Massachusetts | Other | LM0369 | CHAMPUS |
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