Smith Leadership Academy Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SMITH LEADERSHIP ACADEMY CHARTER SCHOOL

Practice address

73 Leonard St
Dorchester, MA 02122-2724

Phone

(617) 474-7950

Fax

(617) 474-7957

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karmala Sherwood

Title

Principal

Phone

(617) 474-7950

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760603278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LEONARD ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222724",
            "telephone_number": "617-474-7950",
            "fax_number": "617-474-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LEONARD ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222724",
            "telephone_number": "617-474-7950",
            "fax_number": "617-474-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH LEADERSHIP ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERWOOD",
        "authorized_official_first_name": "KARMALA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "617-474-7950"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955837",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Smile Studio PLLC
• Gretchen Smith, LICSW
• Holly Smith, BSW
• Jazmin Rena Smith
• Joseph L Smith
• Julian Lewis Smith

• Local Education Agency (LEA) in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.