Smith, Michael
Smith, Michael is an individual health care provider with primary practice located at 291 Lincoln St , Worcester MA 01605-3643. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Michael can be contacted via phone (508) 334-3240.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW00841 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01811 | Rhode Island |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 117423 | Massachusetts |
Profile Details
| NPI number | 1598707374 |
|---|---|
| LBN Legal business name | Smith, Michael |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 10th, 2015 - about 9 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 | 1598707374 | NPPES |
| Rhode Island | MEDICAID | MS59551 | |
| Rhode Island | Other | 1020890 |
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