Individual
MR. JONATHAN JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016656
MA
1041C0700X
Clinical Social Worker
ISW02417
RI
1041C0700X
Clinical Social Worker
LC25131
ME
Other
Enumeration date
02/05/2007
Last updated
02/10/2026
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