Amanda Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116913 Issued in MA

Practice address

2 Corporation Way Ste 260
Peabody, MA 01960-7932

Phone

(978) 531-2904

Fax

(978) 531-2909

NPI assigned

Apr 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1205324381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATION WAY STE 260",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607932",
            "telephone_number": "978-531-2904",
            "fax_number": "978-531-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATION WAY STE 260",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607932",
            "telephone_number": "978-531-2904",
            "fax_number": "978-531-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepmed of California Inc
• Sleepmed Phoenix, LLC
• Sleepmed Therapies, Inc.
• Kayla Sleight, DMD
• Madeline G Smiechowski, CF-SLP
• Benjamin Lynn Smith, PA-C
• Kathleen Smith, NP
• Zenobia Kiasha Smith, PA-C
• Aimee M. SMRZ, PHD
• Rebecca Ann Snow, M ED

• Clinical Social Worker in Peabody, MA
• Providers in Peabody, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.