Robert Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1017996

Practice address

30 Taunton GRN Ste 5
Taunton, MA 02780-3243

Phone

(508) 880-6666

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Advocates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlborough, MA
  • NPI 1437451382
  Medicare reassignment Care Compare group NPD
• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment Care Compare group NPD
• FCP, Inc

  • Community/Behavioral Health Agency
  • Lawrence, MA
  • NPI 1992819411
  Medicare reassignment NPD
• Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peabody, MA
  • NPI 1114771037
  NPD
• Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whitinsville, MA
  • NPI 1184478000
  NPD
• Northeast Health Services

  • Community/Behavioral Health Agency
  • Taunton, MA
  • NPI 1730525163
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1518097088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BOWKER ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TAUNTON GRN STE 5",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803243",
            "telephone_number": "508-880-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Long Pond Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602662",
            "country_code": "US",
            "telephone_number": "508-747-6762",
            "fax_number": "508-747-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "1017996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "1017996",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Smirnov Botelho, PHARMD, RPH
• Sabrina Smith-Jacobson, LMHC
• Carolyn Hulme Smith, LICSW
• Kate N Smith
• Nancy Smith
• Stephen Peter Smith
• John Smolenski Jr., MA
• Tanei Smoot
• Donna Snow, PT
• Emily Rose Snow

• Clinical Social Worker in Taunton, MA
• Providers in Taunton, 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 Oct 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.