Braetan Smith, LICSW is a
Social Worker - Clinical based in Boston, Massachusetts. Braetan Smith is licensed to practice in Massachusetts (license number LICSW128519) and her current practice location is
10 Park Plz, Boston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 222-5381.
NPI number for Braetan Smith is 1417472713 and her current mailing address is 12 Bailey St, Everett, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417472713.
Healthcare Provider's Profile
Full Name | Braetan Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10 Park Plz, Boston, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417472713
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 10/15/2024
Medical Identifiers
Medical identifiers for Braetan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417472713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
104100000X | Social Worker | 000227778 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | LICSW128519 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Braetan Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Braetan Smith, LICSW 12 Bailey St, Everett, MA 02149-4402 Ph: (860) 961-4632 | Braetan Smith, LICSW 10 Park Plz, Boston, MA 02116-3933 Ph: (617) 222-5381 |
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