Individual
ANNE SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(857) 221-5086
Mailing address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(857) 221-5086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111236
MA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00166944
RAIL ROAD MEDICARE
MA
Enumeration date
07/09/2006
Last updated
12/30/2022
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