Marlena C Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120899 Issued in MA

Practice address

250 Lincoln St
Allston, MA 02134-1318

Phone

(617) 233-6120

NPI assigned

Jul 19, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Haverhill, MA
  • NPI 1891112637

  Single Specialty

  Medicare reassignment NPD
• Mass General Brigham Community Physicians Inc

  • Cardiovascular Disease Physician
  • Medford, MA
  • NPI 1548638265

  Single Specialty

  NPD
• Mass General Brigham Community Physicians Inc.

  dba Mass General Brigham Community Physicians

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1639773039
  NPD

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1497232763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321653",
            "telephone_number": "617-501-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LINCOLN ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341318",
            "telephone_number": "617-233-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARLENA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Shik, M.A.
• Brittany Marisa Silva, N.P.
• Ellem Possmozer Silva
• Teresa Simonelli
• Brittney Lee Slater
• Samantha Ann Smith
• Olga M Soler
• Won-Jae Son
• Kimberly Sousa
• Shannon Elizabeth Sousa

• Clinical Social Worker in Allston, MA
• Providers in Allston, 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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.