Individual provider Active NPI

Deborah Smulian-Siegel, LCSW

  • Clinical Social Worker
  • Burlington, MA
National Provider Identifier
1013485788
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213396 Issued in MA
Practice address
26 Beacon St Apt 3E
Burlington, MA 01803-3804
Phone
(646) 546-2285
NPI assigned
Nov 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 213396 MA Primary

Addresses

Primary practice location

26 Beacon St Apt 3E
Burlington, MA 01803-3804

Mailing address

26 Beacon St Apt 3E
Burlington, MA 01803-3804
Phone (646) 546-2285

Other names 1

  • Deborah Smulian Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
213396MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1013485788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BEACON ST APT 3E",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033804",
            "telephone_number": "646-546-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BEACON ST APT 3E",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033804",
            "telephone_number": "646-546-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMULIAN-SIEGEL",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SMULIAN",
            "credential": "BC-DMT; LMFT;CGP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.