NPIMap

Organization Active NPI

Kelly Exley-Smith Psychotherapy LLC

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1548846413
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELLY EXLEY-SMITH PSYCHOTHERAPY LLC
Practice address
281 Forest Hills St Apt 3
Jamaica Plain, MA 02130-3381
Phone
(617) 383-9718
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Kelly Exley-Smith, LICSWNPI 1801244553
Title
Clinical Social Worker/ Owner
Phone
(617) 383-9718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

281 Forest Hills St Apt 3
Jamaica Plain, MA 02130-3381

Mailing address

281 Forest Hills St Apt 3
Jamaica Plain, MA 02130-3381
Phone (617) 383-9718

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1548846413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 FOREST HILLS ST APT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303381",
            "telephone_number": "617-383-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 FOREST HILLS ST APT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303381",
            "telephone_number": "617-383-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY EXLEY-SMITH PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "EXLEY-SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/ OWNER",
        "authorized_official_telephone_number": "617-383-9718",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.