Individual
ADELAIDE S. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2464 MASSACHUSETTS AVE, SUITE 220, CAMBRIDGE, MA 02140-1646
(617) 930-6902
(425) 799-8790
Mailing address
1 FITCHBURG ST APT C220, SOMERVILLE, MA 02143-2127
(617) 764-0056
(425) 799-8790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103294
MA
1041C0700X
Clinical Social Worker
ISW01640
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01256
BLUESHIELD AND BLUECROSS
MA
Enumeration date
09/02/2006
Last updated
07/08/2007
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