Smith, Joan B

Smith, Joan B is an individual health care provider with primary practice located at 750 Washington St , Boston MA 02111-1526. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Joan B can be contacted via phone (617) 636-5749.

Contact Information

Primary practice address
750 Washington St Boston MA 02111-1526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105768 Massachusetts

Profile Details

NPI number 1851345748
LBN Legal business name Smith, Joan B
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851345748 NPPES
Massachusetts MEDICAID 180696

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